Provider Demographics
| NPI: | 1932907144 |
|---|---|
| Name: | BOWLING GREEN-WARREN COUNTY COMMUNITY HOSPITAL CORPORATION |
| Entity type: | Organization |
| Organization Name: | BOWLING GREEN-WARREN COUNTY COMMUNITY HOSPITAL CORPORATION |
| Other - Org Name: | <UNAVAIL> |
| Other - Org Type: | |
| Authorized Official - Title/Position: | EXECUTIVE VICE PRESIDENT & CFO |
| Authorized Official - Prefix: | |
| Authorized Official - First Name: | MICHELE |
| Authorized Official - Middle Name: | |
| Authorized Official - Last Name: | LAWLESS |
| Authorized Official - Suffix: | |
| Authorized Official - Credentials: | |
| Authorized Official - Phone: | 270-745-1500 |
| Mailing Address - Street 1: | PO BOX 90010 |
| Mailing Address - Street 2: | |
| Mailing Address - City: | BOWLING GREEN |
| Mailing Address - State: | KY |
| Mailing Address - Zip Code: | 42102-9010 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 270-261-5640 |
| Mailing Address - Fax: | 270-261-5643 |
| Practice Address - Street 1: | 401 S L ROGERS WELLS BLVD |
| Practice Address - Street 2: | |
| Practice Address - City: | GLASGOW |
| Practice Address - State: | KY |
| Practice Address - Zip Code: | 42141 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 270-261-5640 |
| Practice Address - Fax: | 270-261-5643 |
| EIN: | <UNAVAIL> |
| Is Organization Subpart?: | No |
| Parent Organization LBN: | |
| Parent Organization TIN: | |
| Enumeration Date: | 2025-03-04 |
| Last Update Date: | 2025-05-06 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization | Group |
|---|---|---|---|---|---|
| Yes | 174400000X | Other Service Providers | Specialist | Group - Multi-Specialty | |
| No | 207Q00000X | Allopathic & Osteopathic Physicians | Family Medicine | Group - Multi-Specialty | |
| No | 207QS0010X | Allopathic & Osteopathic Physicians | Family Medicine | Sports Medicine | Group - Multi-Specialty |
| No | 207RG0100X | Allopathic & Osteopathic Physicians | Internal Medicine | Gastroenterology | Group - Multi-Specialty |
| No | 207RI0011X | Allopathic & Osteopathic Physicians | Internal Medicine | Interventional Cardiology | Group - Multi-Specialty |
| No | 207RP1001X | Allopathic & Osteopathic Physicians | Internal Medicine | Pulmonary Disease | Group - Multi-Specialty |
| No | 207T00000X | Allopathic & Osteopathic Physicians | Neurological Surgery | Group - Multi-Specialty | |
| No | 207V00000X | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology | Group - Multi-Specialty | |
| No | 207X00000X | Allopathic & Osteopathic Physicians | Orthopaedic Surgery | Group - Multi-Specialty | |
| No | 207XX0005X | Allopathic & Osteopathic Physicians | Orthopaedic Surgery | Sports Medicine | Group - Multi-Specialty |
| No | 208600000X | Allopathic & Osteopathic Physicians | Surgery | Group - Multi-Specialty | |
| No | 2086S0129X | Allopathic & Osteopathic Physicians | Surgery | Vascular Surgery | Group - Multi-Specialty |
| No | 208G00000X | Allopathic & Osteopathic Physicians | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Group - Multi-Specialty | |
| No | 363A00000X | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant | Group - Multi-Specialty | |
| No | 363LF0000X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family | Group - Multi-Specialty |
