Organization
BOWLING GREEN-WARREN COUNTY COMMUNITY HOSPITAL CORPORATION
Active
Other names
Med Center Health Primary Care Russellville
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELE LAWLESS (EXECUTIVE VICE PRESIDENT & CFO)
(270) 745-1500
Entity
Organization
Contact information
Practice address
1719 NASHVILLE ST STE C, RUSSELLVILLE, KY 42276-7804
(270) 726-7664
(270) 726-9997
Mailing address
PO BOX 10036, BOWLING GREEN, KY 42102-4836
(270) 726-7664
(270) 726-9997
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7101038970
—
KY
Enumeration date
07/01/2024
Last updated
05/14/2026
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