Organization
COMMONWEALTH HEALTH CORPORATION, INC
Active
Organization
COMMONWEALTH HEALTH CORPORATION, INC
Active
Other names
Med Center Health Gastroenterology
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
421 US 31W BYP, BOWLING GREEN, KY 42101-1775
(270) 846-8902
(270) 846-8907
Mailing address
PO BOX 117914, ATLANTA, GA 30368-7914
(270) 846-8902
(270) 846-8907
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
363L00000X
Nurse Practitioner
—
—
363LA2100X
Acute Care Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100576620
—
KY
05
—
7100586710
—
KY
Enumeration date
12/11/2024
Last updated
06/06/2026
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