NPIMap

Organization Active NPI

Bowling Green Warren County Primary Care Center, Inc.

Doing business as Fairview Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Bowling Green, KY
National Provider Identifier
1336268234
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
License
700042 Issued in KY
Legal business name
BOWLING GREEN WARREN COUNTY PRIMARY CARE CENTER, INC.
Doing business as
Fairview Community Health Center
Practice address
225 Natchez Trace Avenue
Bowling Green, KY 42103-7995
Phone
(270) 783-3573
Fax
(270) 783-4081
NPI assigned
Mar 29, 2007
Last updated
Jul 13, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Authorized official

Name
Ms. Amy Whittinghill
Title
Coo
Phone
(270) 783-3573

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X 700042 KY Primary

Addresses

Primary practice location

225 Natchez Trace Avenue
Bowling Green, KY 42103-7995

Mailing address

PO Box 1177
Bowling Green, KY 42102-1177
Phone (270) 783-3573

Other identifiers 1

IdentifierTypeStateIssuer
31000680MedicaidKY

Other names 1

  • Fairview Community Health Center Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20050427000353 KY Part B Supplier - Clinic/Group Practice 3779521612 Receives reassigned benefits from 15 practitioners
Practice locations: Bowling Green, KY
O20121015000407 KY Part A Provider - Federally Qualified Health Center (FQHC) 3779521612 Practice locations: Bowling Green, KY

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1336268234. Details of each certification follow.

Federally qualified health center certification: CCN 181889

Legal name
BOWLING GREEN WARREN COUNTY PRIMARY CARE CENTER, INC.
Doing business as
FAIRVIEW COMMUNITY HEALTH CENTER
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Oct 17, 2012
Last certification
Oct 17, 2012
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
May 28, 1987 in KY
Enrollment address
225 Natchez Trace Ave
Bowling Green, KY 42103-7995

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
18D2047740Fairview Community Health Center225 Natchez Trace Avenue, Bowling Green, KY 42103Provider-performed microscopyOct 1, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 7

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

NameRoleSinceShare
Trevia Cole Individual Corporate DirectorBoard Member Mar 1, 2016
Bowling Green Warren County Primary Care Center, Inc. Organization, Bowling Green, KY Corporation, Non-profit Operational/Managerial Control May 28, 1987
Paula Evans Individual Corporate DirectorSecretary Mar 1, 2013
John Lillybridge Individual Corporate OfficerChief Financial Officer Jul 25, 2011
Corporate DirectorFinance Director Jul 25, 2011
W-2 Managing EmployeeFinance Director Jul 25, 2011
Operational/Managerial ControlFinance Director Jul 25, 2011
Chris Keyser Individual Corporate OfficerCeo Jun 25, 2001
Corporate DirectorExecutive Director Jun 25, 2001
W-2 Managing EmployeeExecutive Director Jun 25, 2001
Operational/Managerial ControlExecutive Director Jun 25, 2001
Melody Kaelin Individual Corporate DirectorBoard Chairperson Mar 1, 2012
Heather Michelle Cole Individual Corporate DirectorBoard Member Mar 1, 2013

Practitioners & affiliated clinicians

Practitioners 26

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.

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783900800000",
    "number": "1336268234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1177",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421021177",
            "telephone_number": "270-783-3573",
            "fax_number": "270-783-4081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 NATCHEZ TRACE AVENUE",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421037995",
            "telephone_number": "270-783-3573",
            "fax_number": "270-783-4081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOWLING GREEN WARREN COUNTY PRIMARY CARE CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-29",
        "last_updated": "2026-07-13",
        "certification_date": "2026-07-13",
        "status": "A",
        "authorized_official_last_name": "WHITTINGHILL",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "270-783-3573",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "KY",
            "license": "700042",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "31000680",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fairview Community Health Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Fairview Community Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bowling Green, KY

Sources for this page

Verify at the official NPI Registry.