NPIMap

Organization Active NPI

Bowling Green-Warren County Community Hospital Corporation

Doing business as Med Center Health Primary Care Auburn

  • Rural Health Clinic/Center
  • Auburn, KY
National Provider Identifier
1134965015
Registry record updated Jun 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
BOWLING GREEN-WARREN COUNTY COMMUNITY HOSPITAL CORPORATION
Doing business as
Med Center Health Primary Care Auburn
Practice address
128 Sugar Maple Dr
Auburn, KY 42206-5352
Phone
(270) 344-5157
Fax
(270) 215-1409
NPI assigned
Jul 1, 2024
Last updated
Jun 6, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2026

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

Authorized official

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X NU Primary

Addresses

Primary practice location

128 Sugar Maple Dr
Auburn, KY 42206-5352

Mailing address

PO Box 117924
Atlanta, GA 30368-7924
Phone (270) 344-5157

Other identifiers 1

IdentifierTypeStateIssuer
7101038980MedicaidKY

Other names 1

  • Med Center Health Primary Care Auburn Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20240917002124 KY Part A Provider - Rural Health Clinic 7719899947 Practice locations: Auburn, KY
O20240919000258 KY Part B Supplier - Clinic/Group Practice 7719899947 Receives reassigned benefits from 9 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Auburn, KY; Russellville, KY

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1134965015. Details of each certification follow.

Rural health clinic certification: CCN 188929

Legal name
BOWLING GREEN-WARREN COUNTY COMMUNITY HOSPITAL CORPORATION
Doing business as
MED CENTER HEALTH PRIMARY CARE AUBURN
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Aug 22, 2013
Last certification
Jul 25, 2013
Ownership / control type
1B
Organization structure
CorporationNon-profit
Incorporated
May 26, 1977 in KY
Enrollment address
128 Sugar Maple Dr
Auburn, KY 42206-5352

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

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 Director Jul 1, 2024
Wade Stone Individual Corporate OfficerExecutive Vice President Jul 1, 2024
W-2 Managing Employee Jul 1, 2024
Paul Cook Individual Corporate Director Jul 1, 2024
Janet Johnson Individual Corporate Director Jul 1, 2024
Joe Natcher Individual Corporate Director 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
Cathy Bishop Individual Corporate Director Jul 1, 2024
Donna Blackburn Individual Corporate Director Jul 1, 2024
Michele Lawless Individual Corporate OfficerExecutive Vice President & Cfo Jul 1, 2024
W-2 Managing Employee Jul 1, 2024
Thomas Loving Individual Corporate Director Jul 1, 2024
Connie Smith Individual Corporate OfficerPresident & Ceo Jul 1, 2024
W-2 Managing Employee Jul 1, 2024
Jackie Pope-Tarrence Individual Corporate Director Jul 1, 2024
Michael Thurmond Individual Corporate Director May 15, 2024
Katrina Wood Individual Corporate OfficerExecutive Vice President Jul 1, 2024
W-2 Managing Employee Jul 1, 2024
William Henry Moss Individual Corporate Director Jul 1, 2024
Paul D Kelsey Individual Corporate DirectorBoard Member Jan 1, 2026
Mohammed Kazimuddin Individual Corporate Director Jul 1, 2024
David Gray Individual Corporate OfficerExecutive Vice President Jul 1, 2024
W-2 Managing Employee 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

Change-of-ownership history 1

DateEventCounterparty
Jul 1, 2024 Change of OwnershipThis provider was the buyer Logan Primary Care AuburnCCN 188929, KY, NPI 1891031191

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1719792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780704000000",
    "number": "1134965015",
    "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": "270-344-5157",
            "fax_number": "270-215-1409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 SUGAR MAPLE DR",
            "city": "AUBURN",
            "state": "KY",
            "postal_code": "422065352",
            "telephone_number": "270-344-5157",
            "fax_number": "270-215-1409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOWLING GREEN-WARREN COUNTY COMMUNITY HOSPITAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-01",
        "last_updated": "2026-06-06",
        "certification_date": "2026-06-06",
        "status": "A",
        "authorized_official_last_name": "LAWLESS",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_title_or_position": "EXECUTIVE VICE PRESIDENT & CFO",
        "authorized_official_telephone_number": "270-745-1500"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7101038980",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Med Center Health Primary Care Auburn",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Auburn, KY

Sources for this page

Verify at the official NPI Registry.