| Commonwealth Health Corporation, Inc | |
|
350 Park St Ste 102 Bowling Green KY 42101-1700 | |
| (270) 796-3520 | |
| (270) 796-3523 |
| Full Name | Commonwealth Health Corporation, Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 350 Park St Ste 102, Bowling Green, Kentucky |
| Authorized Official Name and Position | Ronald Gene Sowell (EXEC. VICE PRESIDENT / CFO) |
| Authorized Official Contact | 2707451510 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Commonwealth Health Corporation, Inc Po Box 2697 Bowling Green KY 42102-7697 Ph: (270) 796-3520 | Commonwealth Health Corporation, Inc 350 Park St Ste 102 Bowling Green KY 42101-1700 Ph: (270) 796-3520 |
| NPI Number | 1295351484 |
|---|---|
| Provider Enumeration Date | 06/23/2020 |
| Last Update Date | 06/23/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295351484 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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