Organization
COMMONWEALTH HEALTH CORPORATION, INC
Active
Other names
MED CENTER HEALTH HEART, LUNG & VASCULAR SURGEONS
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELE LAWLESS (EXECUTIVE VICE PRESIDENT & CFO)
(270) 745-1500
Entity
Organization
Contact information
Practice address
825 2ND AVE STE B1, BOWLING GREEN, KY 42101-1790
(270) 796-3330
(270) 796-3338
Mailing address
PO BOX 2697, BOWLING GREEN, KY 42102-7697
(270) 796-3330
(270) 796-3338
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
—
—
2086S0129X
Vascular Surgery Physician
—
—
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
65931776
—
KY
05
—
7100393930
—
KY
Enumeration date
07/04/2006
Last updated
03/19/2025
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