| Fairview Community Health Center | |
|
225 Natchez Trace Avenue Bowling Green KY 42103-7995 | |
| (270) 783-3573 | |
| (270) 783-4081 |
| Full Name | Fairview Community Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 225 Natchez Trace Avenue, Bowling Green, Kentucky |
| Authorized Official Name and Position | Amy Whittinghill (COO) |
| Authorized Official Contact | 2707833573 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Fairview Community Health Center Po Box 1177 Bowling Green KY 42102-1177 Ph: (270) 783-3573 | Fairview Community Health Center 225 Natchez Trace Avenue Bowling Green KY 42103-7995 Ph: (270) 783-3573 |
| NPI Number | 1336268234 |
|---|---|
| Provider Enumeration Date | 03/29/2007 |
| Last Update Date | 05/12/2022 |
| Medicare PECOS PAC ID | 3779521612 |
|---|---|
| Medicare Enrollment ID | O20050427000353 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336268234 | NPI | - | NPPES |
| 31000680 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 700042 (Kentucky) | Primary |
| Provider Name | Heather Wyatt Parsley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891776738 PECOS PAC ID: 9133172810 Enrollment ID: I20050222000691 |
| Provider Name | Jennifer J Gray |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649253527 PECOS PAC ID: 8628096815 Enrollment ID: I20051107000186 |
| Provider Name | Shelia Ann Catlett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194932376 PECOS PAC ID: 1355435579 Enrollment ID: I20070919000561 |
| Provider Name | Lori England Wright |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1477536829 PECOS PAC ID: 3779627989 Enrollment ID: I20100225000226 |
| Provider Name | Lori Witcher |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1275695108 PECOS PAC ID: 1951372903 Enrollment ID: I20100503000574 |
| Provider Name | Dawn K Guess |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841573326 PECOS PAC ID: 0749456150 Enrollment ID: I20120106000518 |
| Provider Name | Jacqueline Nicole Wise |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609115773 PECOS PAC ID: 7719128354 Enrollment ID: I20130724000983 |
| Provider Name | Robert A Redden |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770580722 PECOS PAC ID: 8123246139 Enrollment ID: I20140903001891 |
| Provider Name | Thomas G Hughes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689668642 PECOS PAC ID: 7315167152 Enrollment ID: I20140930001149 |
| Provider Name | Kara Haughtigan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942626114 PECOS PAC ID: 0840506622 Enrollment ID: I20150825005114 |
| Provider Name | Latricia Riley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659735645 PECOS PAC ID: 5597064287 Enrollment ID: I20160502001395 |
| Provider Name | Tara Brooke Clarke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679082754 PECOS PAC ID: 9537362256 Enrollment ID: I20171006002804 |
| Provider Name | Monica King |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194362822 PECOS PAC ID: 3870927429 Enrollment ID: I20200107002393 |
| Provider Name | Diana Marie Wooden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912500604 PECOS PAC ID: 5496160301 Enrollment ID: I20210225003359 |
| Provider Name | Dana Faye Emberton-tinius |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124760657 PECOS PAC ID: 7618349416 Enrollment ID: I20230203001128 |
Verdant Healthcare Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1300 Andrea St, Suite 100, Bowling Green, KY 42104 Phone: 270-780-3546 Fax: 270-780-3547 | |
Cumberland Family Medical Center, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2464 Cumberland Trace Road, Bowling Green, KY 42103 Phone: 844-435-0900 Fax: 270-858-4029 | |
Western Kentucky Orthopaedic And Neurosurgical Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 165 Natchez Trace Ave, Suite 200, Bowling Green, KY 42103 Phone: 270-782-7800 Fax: 270-843-0779 | |
Cumberland Family Medical Center, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2650 Plano Road, Bowling Green, KY 42104 Phone: 844-435-0900 Fax: 270-858-4029 | |
Cumberland Family Medical Center, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2617 Russellville Road, Bowling Green, KY 42101 Phone: 844-435-0900 Fax: 270-858-4029 | |
Cumberland Family Medical Center, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1808 Loop Drive, Bowling Green, KY 42101 Phone: 844-435-0900 Fax: 270-858-4029 | |
Cumberland Family Medical Center, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 265 Lovers Lane, Bowling Green, KY 42103 Phone: 844-435-0900 Fax: 270-858-4029 |