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Bowling Green-Warren County Community Hospital Corporation

Organization Active NPI Rural Health Clinic/Center · Scottsville, KY

NPI 1154483253 · NPPES record last updated Jun 6, 2026

Key facts

NPI
1154483253
Entity type
Organization (NPI type 2)
Primary specialty
Rural Health Clinic/Center 261QR1300X
License
900204 (KY)
Legal business name
BOWLING GREEN-WARREN COUNTY COMMUNITY HOSPITAL CORPORATION
Practice address
466 Burnley Rd
Scottsville, KY 42164-6355
Phone
(270) 618-3700
Fax
(270) 618-3772
NPI assigned
Dec 14, 2006
Organization subpart
No

Authorized official

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

Owners & managing parties with NPI records 6

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

Other NPIs on the same Medicare enrollment 4

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

Member of 1

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

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

Facilities with the same owner 19

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

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
18D0325992Med Center Health Primary Care Scottsville
466 Burnley Rd, Scottsville, KY 42164		Certificate of waiverAug 17, 2027

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in KY

Rural health clinic certification: CCN 183458

Legal name
BOWLING GREEN-WARREN COUNTY COMMUNITY HOSPITAL CORPORATION
Doing business as
MED CENTER HEALTH PRIMARY CARE SCOTTSVILLE
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Aug 14, 2007
Last certification
Jun 5, 2026
Ownership / control type
2B
Organization structure
Corporation · Non-profit
Incorporated
May 26, 1977 in KY
Enrollment address
466 Burnley Rd
Scottsville, KY 42164-6355
Related CCNs
181324

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
Board Member		 Jan 1, 2000
Wade Stone
Individual 		Corporate Officer
Executive VP		 Nov 14, 2012
W-2 Managing Employee
Executive VP		 Nov 14, 2012
Paul Cook
Individual 		Corporate Director
Board Member		 Jan 1, 1982
Janet Johnson
Individual 		Corporate Director
Board Member		 Mar 1, 2005
Joe Natcher
Individual 		Corporate Director
Board Member		 Jan 1, 1992
Commonwealth Health Corporation, Inc.
Organization · Bowling Green, KY
Non-profit 		5% Or Greater Direct Ownership Interest Aug 14, 2007 100%
William S Borders
Individual 		W-2 Managing Employee
Vice President		 Dec 14, 2023
Douglas B Thomson
Individual 		Corporate Director
Board Member		 Jan 1, 2014
Cathy Bishop
Individual 		Corporate Director
Board Member		 Jan 1, 2000
Donna Blackburn
Individual 		Corporate Director
Board Member		 Jan 1, 2004
Michele Lawless
Individual 		Corporate Officer
Exec Vice President, Cfo		 Aug 19, 2020
W-2 Managing Employee
Exec Vice President, Cfo		 Aug 19, 2020
Thomas Loving
Individual 		Corporate Director
Board Member		 Jan 1, 2014
Connie Smith
Individual 		Corporate Officer
President		 Nov 17, 2010
W-2 Managing Employee
President		 Mar 18, 1998
Jackie Pope-Tarrence
Individual 		Corporate Director
Director		 Feb 1, 2018
Michael Thurmond
Individual 		Corporate Director
Director		 May 15, 2024
Katrina Wood
Individual 		Corporate Officer
Executive Vice President		 May 17, 2023
W-2 Managing Employee
Executive Vice President		 May 17, 2023
William Henry Moss
Individual 		Corporate Director
Director		 Jan 1, 2022
Mohammed Kazimuddin
Individual 		Corporate Director
Board Member		 Jan 1, 2015
David Gray
Individual 		Corporate Officer
Exec Vice President		 Aug 19, 2020
W-2 Managing Employee
Exec Vice President		 Aug 19, 2020

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20031231000033 KY Part B Supplier - Clinic/Group Practice 7719899947 Receives reassigned benefits from 26 practitioners
4 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Bowling Green, KY; Horse Cave, KY; Munfordville, KY; Scottsville, KY
O20070510000432 KY Part a Provider - Rural Health Clinic 7719899947 Practice locations: Scottsville, KY

National Provider Directory

Locations

1211 Ashley Cir
Bowling Green, KY 42104
Phone (270) 782-8700

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X 900204 KY Yes

Addresses

Primary practice location

466 Burnley Rd
Scottsville, KY 42164-6355

Mailing address

PO Box 117924
Atlanta, GA 30368-7924
Phone (270) 618-3700

Other identifiers

IdentifierTypeStateIssuer
7100016780MedicaidKY
CG1846OtherKYRAILROAD MEDICARE

Other names

  • MED CENTER HEALTH PRIMARY CARE SCOTTSVILLE Doing business as
  • THE MEDICAL CENTER AT SCOTTSVILLE RURAL HEALTH CLINIC Doing business as

Electronic endpoints

TypeEndpointUseAffiliation
Other URL https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Cobius Healthcare Solutions

Other providers in Scottsville, KY

All providers in Scottsville, KY · Rural Health Clinic/Center in Kentucky

Sources for this page

Verify at the official NPI Registry.