Commonwealth Health Corporation, Inc.
Organization Active NPI Family Nurse Practitioner · Scottsville, KY
NPI 1679087480 · NPPES record last updated Dec 7, 2017
Key facts
- NPI
- 1679087480
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- Legal business name
- COMMONWEALTH HEALTH CORPORATION, INC.
- Practice address
- 1545 Bowling Green Rd RM 803
Scottsville, KY 42164-9647 - Phone
- (270) 618-3094
- Fax
- (270) 239-9356
- NPI assigned
- Dec 1, 2017
- Organization subpart
- No
Authorized official
- Name
- Ronald Gene Sowell
- Title
- Exec. Vice President
- Phone
- (270) 745-1510
Other NPIs on the same Medicare enrollment 42
Practitioners 1
-
Yolanda Y Reid, N.P.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040916000800 | KY | Part B Supplier - Clinic/Group Practice | 5496667628 |
Receives reassigned benefits from 306 practitioners 42 other NPIs on this enrollment This NPI is an additional NPI on the enrollment |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner |
363LF0000X | Yes |
Addresses
Primary practice location
1545 Bowling Green Rd RM 803
Scottsville, KY 42164-9647
Mailing address
PO Box 2697
Bowling Green, KY 42102-7697
Phone (270) 618-3094
Other names
- The Medical Center Scottsville Primary Care Clinic
Other providers in Scottsville, KY
- Crystal Coffee
- Commonwealth Health Corporation
- Commonwealth Health Corporation, Inc
- Commonwealth Health Corporation, Inc
- Commonwealth Health Corporation, Inc.
- Commonwealth Health Corporation, Inc.
- Catina Leah Cooper
- Cornerstone Manor I LLC
- Cumberland Foot and Ankle Centers
- Brandi Davidson
All providers in Scottsville, KY · Family Nurse Practitioner in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 7, 2017. 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.