Bowling Green-Warren County Community Hospital Corporation
Organization Active NPI Critical Access Hospital · Albany, KY
NPI 1013379528 · NPPES record last updated Jun 6, 2026
Key facts
- NPI
- 1013379528
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Critical Access Hospital 282NC0060X
- Legal business name
- BOWLING GREEN-WARREN COUNTY COMMUNITY HOSPITAL CORPORATION
- Practice address
- 723 Burkesville Rd
Albany, KY 42602-1654 - Phone
- (606) 387-6421
- Fax
- (606) 387-8550
- NPI assigned
- Mar 23, 2016
- Organization subpart
- No
Authorized official
- Name
- Michele W Lawless
- Title
- Executive Vice President & Cfo
- Phone
- (270) 745-1500
Owners & managing parties with NPI records 6
-
Eli O. Jackson, D.M.D.
-
Mohammed Kazimuddin, MD FACC FSCAI
-
William H. Moss, M.D.
-
Douglas Thomson, M.D.
Corporate family (same tax ID) 41
Member of 1
Member organizations 2
Related certifications (CCN) 1
Facilities with the same owner 19
Practitioners 4
-
Tracy Glenn Cross, M.D.
Affiliated clinicians 4
-
Amber Shadoan, MD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
Hospital certification: CCN 18Z333
- Legal name
- BOWLING GREEN-WARREN COUNTY COMMUNITY HOSPITAL CORPORATION
- Doing business as
- THE MEDICAL CENTER AT ALBANY
- Organization structure
- Corporation · Non-profit
- Enrollment address
- 723 Burkesville Rd
Albany, KY 42602-1654
All disclosed owners & managing parties 18
| Name | Role | Since | Share |
|---|---|---|---|
| Eli Oldham Jackson |
Corporate Director |
Jan 1, 2000 | |
| Wade Stone |
Corporate Officer |
Nov 14, 2012 | |
| W-2 Managing Employee |
Nov 14, 2012 | ||
| Paul Cook |
Corporate Director |
Jan 1, 1982 | |
| Janet Johnson |
Corporate Director |
Mar 1, 2005 | |
| Joe Natcher |
Corporate Director |
Jan 1, 1992 | |
| Commonwealth Health Corporation, Inc. |
5% Or Greater Indirect Ownership Interest | Apr 1, 2024 | 100% |
| Operational/Managerial Control | Apr 1, 2024 | ||
| William S Borders |
W-2 Managing Employee |
Dec 14, 2023 | |
| Douglas B Thomson |
Corporate Director |
Jan 1, 2014 | |
| Cathy Bishop |
Corporate Director |
Jan 1, 2000 | |
| Donna Blackburn |
Corporate Director |
Jan 1, 2004 | |
| Michele Lawless |
Corporate Officer |
Aug 19, 2020 | |
| W-2 Managing Employee |
Aug 19, 2020 | ||
| Thomas Loving |
Corporate Director |
Jan 1, 2014 | |
| Connie Smith |
Corporate Officer |
Nov 17, 2010 | |
| W-2 Managing Employee |
Nov 17, 2010 | ||
| Jackie Pope-Tarrence |
Corporate Director |
Feb 1, 2018 | |
| Katrina Wood |
Corporate Officer |
May 17, 2023 | |
| W-2 Managing Employee |
May 17, 2023 | ||
| William Henry Moss |
Corporate Director |
Jan 1, 2022 | |
| Mohammed Kazimuddin |
Corporate Director |
Jan 1, 2015 | |
| David Gray |
Corporate Officer |
Aug 19, 2020 | |
| W-2 Managing Employee |
Aug 19, 2020 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240622000181 | KY | Part a Provider - Critical Access Hospital | 7719899947 | Practice locations: Albany, KY |
National Provider Directory
- Tax ID family
- Bowling Green Warren County Community Hospital
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medicare Defined Swing Bed Hospital Unit | 275N00000X | 100078 | KY | |
| Critical Access Hospital | 282NC0060X | Yes |
Addresses
Primary practice location
723 Burkesville Rd
Albany, KY 42602-1654
Mailing address
PO Box 117924
Atlanta, GA 30368-7924
Phone (606) 387-6421
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000995896 | Other | KY | ANTHEM |
| 7100415350 | Medicaid | KY |
Other names
- The Medical Center at Albany
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other | Cobius Healthcare Solutions |
Other providers in Albany, KY
- Ashley Baker
- Lisa Beatty
- Jana L Beaty
- Big Jims Family Pharmacy, LLC
- Mindy Blakeman
- Bowling Green-Warren County Community Hospital Corporation
- Bowling Green-Warren County Community Hospital Corporation
- Tammy L Brown
- Tammy R Brown
- Rosa Brummett
All providers in Albany, KY · Critical Access Hospital in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 6, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.