| Bowling Green Warren County Community Hospital Corporation | |
|
350 Park St Ste 206 Bowling Green KY 42101-1784 | |
| (270) 782-9424 | |
| (270) 782-9445 |
| Full Name | Bowling Green Warren County Community Hospital Corporation |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 350 Park St Ste 206, Bowling Green, Kentucky |
| Authorized Official Name and Position | Michele Lawless (EXECUTIVE VICE PRESIDENT / CFO) |
| Authorized Official Contact | 2707451500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bowling Green Warren County Community Hospital Corporation Po Box 90010 Bowling Green KY 42102-9010 Ph: (270) 745-1100 | Bowling Green Warren County Community Hospital Corporation 350 Park St Ste 206 Bowling Green KY 42101-1784 Ph: (270) 782-9424 |
| NPI Number | 1942990767 |
|---|---|
| Provider Enumeration Date | 05/15/2023 |
| Last Update Date | 05/15/2023 |
| Certification Date | 05/15/2023 |
| Medicare PECOS PAC ID | 7719899947 |
|---|---|
| Medicare Enrollment ID | O20230703000877 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942990767 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | Tage F Haase |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1376547117 PECOS PAC ID: 3779481932 Enrollment ID: I20031224000042 |
| Provider Name | Timothy Wierson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1295731602 PECOS PAC ID: 0749317634 Enrollment ID: I20100426000076 |
| Provider Name | Jianhua Zhu |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1033115449 PECOS PAC ID: 3870620776 Enrollment ID: I20100426000156 |
| Provider Name | Wesley Chou |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1841294717 PECOS PAC ID: 7416084009 Enrollment ID: I20100430000374 |
| Provider Name | Amber R Chambers |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1790097111 PECOS PAC ID: 8224152798 Enrollment ID: I20100907000112 |
| Provider Name | Eme Oko Igbokwe |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1346432507 PECOS PAC ID: 3779497466 Enrollment ID: I20110803000257 |
| Provider Name | Daniel L Davis |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1114967353 PECOS PAC ID: 5991708810 Enrollment ID: I20161005002945 |
| Provider Name | Darin L Passer |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1437216579 PECOS PAC ID: 9931392677 Enrollment ID: I20200826001610 |
| Provider Name | Jae Eun Lee |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1346622792 PECOS PAC ID: 7113221581 Enrollment ID: I20210527001787 |
| Provider Name | Xue Yang |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1841854015 PECOS PAC ID: 7214260637 Enrollment ID: I20231130003777 |
| Provider Name | Haroon Majoka |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1437682978 PECOS PAC ID: 3476822446 Enrollment ID: I20240508000072 |
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