NPIMap

Organization Active NPI

Bowling Green-Warren County Community Hospital Corporation

Doing business as The Medical Center at Russellville

  • Rural Acute Care Hospital
  • Russellville, KY
National Provider Identifier
1124868963
Registry record updated Oct 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Acute Care HospitalTaxonomy code 282NR1301X
Legal business name
BOWLING GREEN-WARREN COUNTY COMMUNITY HOSPITAL CORPORATION
Doing business as
The Medical Center at Russellville
Practice address
1625 Nashville St
Russellville, KY 42276-8853
Phone
(270) 726-4011
Fax
(270) 726-7465
NPI assigned
May 29, 2024
Last updated
Oct 19, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Michele W Lawless
Title
Executive Vice President & Cfo
Phone
(270) 745-1500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Acute Care Hospital 282NR1301X Primary

Addresses

Primary practice location

1625 Nashville St
Russellville, KY 42276-8853

Mailing address

PO Box 117924
Atlanta, GA 30368-7924
Phone (270) 726-4011

Other identifiers 1

IdentifierTypeStateIssuer
7101035030MedicaidKY

Other names 1

  • The Medical Center at Russellville Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240830000111 KY Part A Provider - Hospital 7719899947 Practice locations: Russellville, KY

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1124868963. Details of each certification follow.

Hospital certification: CCN 180066

Legal name
BOWLING GREEN-WARREN COUNTY COMMUNITY HOSPITAL CORPORATION
Doing business as
THE MEDICAL CENTER AT RUSSELLVILLE
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
May 15, 2002
Beds
92
Ownership / control type
Private (for profit)
Most recent change of ownership
Jul 1, 2024 (7 total)
Organization structure
CorporationNon-profit
Incorporated
May 26, 1977 in KY
Enrollment address
1625 Nashville St
Russellville, KY 42276-8853
Main/Primary Hospital Location
Hospital subgroups
Acute care

Facilities connected through Provider of Services related, parent or unit certification numbers.

Care Compare: Hospital

Medicare Care Compare
Listed as
The Medical Center at RussellvilleCCN 180066 · All quality measures
Overall star rating
2 of 5
Type
Acute Care Hospitals
Ownership
Proprietary
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
Bowling Green Warren County Community Hospital Corporation42 organizations share this tax ID, including this one

Other organizations with this tax ID 41

Organizations that report the same tax identification number in the National Provider Directory.

View all 41

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 19

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Eli Oldham Jackson Individual Corporate DirectorDirector Jul 1, 2024
Wade Stone Individual Corporate OfficerExecutive Vice President Jul 1, 2024
W-2 Managing EmployeeExecutive Vice President Jul 1, 2024
Paul Cook Individual Corporate DirectorDirector Jul 1, 2024
Janet Johnson Individual Corporate DirectorDirector Jul 1, 2024
Joe Natcher Individual Corporate DirectorDirector Jul 1, 2024
Commonwealth Health Corporation, Inc. Organization, Bowling Green, KY Corporation, Non-profit, Chain home office 5% Or Greater Direct Ownership Interest Jul 1, 2024 100%
William S Borders Individual W-2 Managing EmployeeVice President Jul 1, 2024
Douglas B Thomson Individual Corporate DirectorDirector Jul 1, 2024
Cathy Bishop Individual Corporate DirectorDirector Jul 1, 2024
Donna Blackburn Individual Corporate DirectorDirector Jul 1, 2024
Michele Lawless Individual Corporate OfficerExecutive Vice President & Cfo Jul 1, 2024
W-2 Managing EmployeeExecutive Vice President & Cfo Jul 1, 2024
Thomas Loving Individual Corporate DirectorDirector Jul 1, 2024
Connie Smith Individual Corporate OfficerPresident & Ceo Jul 1, 2024
W-2 Managing EmployeePresident & Ceo Jul 1, 2024
Jackie Pope-Tarrence Individual Corporate DirectorDirector Jul 1, 2024
Michael Thurmond Individual Corporate DirectorDirector Jul 1, 2024
Katrina Wood Individual Corporate OfficerExecutive Vice President Jul 1, 2024
W-2 Managing EmployeeExecutive Vice President Jul 1, 2024
William Henry Moss Individual Corporate DirectorDirector Jul 1, 2024
Mohammed Kazimuddin Individual Corporate DirectorDirector Jul 1, 2024
David Gray Individual Corporate OfficerExecutive Vice President Jul 1, 2024
W-2 Managing EmployeeExecutive Vice President Jul 1, 2024

Owners & managing parties with NPI records 6

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 19

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 19

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 117

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 117

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1716940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1792368000000",
    "number": "1124868963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 117924",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303687924",
            "telephone_number": "270-726-4011",
            "fax_number": "270-726-7465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 NASHVILLE ST",
            "city": "RUSSELLVILLE",
            "state": "KY",
            "postal_code": "422768853",
            "telephone_number": "270-726-4011",
            "fax_number": "270-726-7465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOWLING GREEN-WARREN COUNTY COMMUNITY HOSPITAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-29",
        "last_updated": "2026-10-19",
        "certification_date": "2026-10-19",
        "status": "A",
        "authorized_official_last_name": "LAWLESS",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "EXECUTIVE VICE PRESIDENT & CFO",
        "authorized_official_telephone_number": "270-745-1500"
    },
    "taxonomies": [
        {
            "code": "282NR1301X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Rural",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7101035030",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Medical Center at Russellville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Russellville, KY

Sources for this page

Verify at the official NPI Registry.