Organization
COMMONWEALTH REGIONAL SPECIALTY HOSPITAL, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELE W LAWLESS (EXECUTIVE VICE PRESIDENT/CFO)
(270) 745-1500
Entity
Organization
Contact information
Practice address
250 PARK ST, SIXTH FLOOR, BOWLING GREEN, KY 42101-1760
(270) 796-6200
(270) 796-6275
Mailing address
PO BOX 2697, BOWLING GREEN, KY 42102-7697
(270) 796-6288
(270) 796-6275
Taxonomy
Speciality
Code
Description
License number
State
282E00000X
Long Term Care Hospital
Primary
100404
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01000355
—
KY
Enumeration date
07/03/2006
Last updated
01/11/2023
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