NPIMap

Organization Active NPI

Bowling Green-Warren County Community Hospital Corporation

Doing business as Med Center Health Primary Care Munfordville

  • Rural Health Clinic/Center
  • Munfordville, KY
National Provider Identifier
1801261029
Registry record updated Jun 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
License
900223 Issued in KY
Legal business name
BOWLING GREEN-WARREN COUNTY COMMUNITY HOSPITAL CORPORATION
Doing business as
Med Center Health Primary Care Munfordville
Practice address
1134 Main St
Munfordville, KY 42765-9432
Phone
(270) 524-3641
Fax
(270) 524-7595
NPI assigned
Dec 14, 2015
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 W Lawless
Title
Executive Vice President/Cfo
Phone
(270) 745-1500

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X 900223 KY Primary
Family Nurse Practitioner 363LF0000X KY
Family Medicine Physician 207Q00000X KY
Internal Medicine Physician 207R00000X KY

Addresses

Primary practice location

1134 Main St
Munfordville, KY 42765-9432

Mailing address

PO Box 117924
Atlanta, GA 30368-7924
Phone (270) 524-3641

Other identifiers 1

IdentifierTypeStateIssuer
7100405000MedicaidKY

Other names 1

  • Med Center Health Primary Care Munfordville Doing business as

Electronic endpoints 1

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

Medicare participation

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

Enrollment records 2

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
O20160321001269 KY Part A Provider - Rural Health Clinic 7719899947 Practice locations: Munfordville, KY

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1801261029. Details of each certification follow.

Rural health clinic certification: CCN 183465

Legal name
BOWLING GREEN-WARREN COUNTY COMMUNITY HOSPITAL CORPORATION
Doing business as
MED CENTER HEALTH PRIMARY CARE MUNFORDVILLE
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Mar 6, 2009
Last certification
Mar 26, 2015
Ownership / control type
2B
Most recent change of ownership
Jan 1, 2016 (1 total)
Organization structure
CorporationNon-profit
Incorporated
May 26, 1977 in KY
Enrollment address
1134 Main St
Munfordville, KY 42765-9432
Related CCNs
181314

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

Other NPIs on the same Medicare enrollment 4

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

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
18D0327118Med Center Health Primary Care Munfordville1134 Main Street, Munfordville, KY 42765Certificate of waiverDec 31, 2027

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 16

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 Jan 1, 2000
Wade Stone Individual Corporate Officer Nov 14, 2012
W-2 Managing Employee Nov 14, 2012
Paul Cook Individual Corporate Director Jan 1, 1982
Janet Johnson Individual Corporate Director Mar 1, 2005
Joe Natcher Individual Corporate Director Jan 1, 1992
Commonwealth Health Corporation, Inc. Organization, Bowling Green, KY Corporation, Non-profit 5% Or Greater Direct Ownership Interest Jan 1, 2016 100%
Operational/Managerial Control Jan 1, 2016 100%
Douglas B Thomson Individual Corporate Director Jan 1, 2014
Cathy Bishop Individual Corporate Director Jan 1, 2000
Donna Blackburn Individual Corporate Director Jan 1, 2004
Michele Lawless Individual Corporate OfficerExec Vice President / Cfo Aug 19, 2020
W-2 Managing EmployeeExec Vice President / Cfo Aug 19, 2020
Thomas Loving Individual Corporate Director Jan 1, 2014
Connie Smith Individual Corporate Officer Mar 18, 1998
W-2 Managing Employee Mar 18, 1998
Jackie Pope-Tarrence Individual Corporate Director Feb 1, 2018
William Henry Moss Individual Corporate Director Jan 1, 2022
Mohammed Kazimuddin Individual Corporate Director Jan 1, 2015
David Gray Individual Corporate OfficerExec Vice President Aug 19, 2020
W-2 Managing EmployeeExec Vice President Aug 19, 2020

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
Jan 1, 2016 Change of OwnershipThis provider was the buyer Caverna Memorial Hospital Munfordville Physicians OfficeCCN 183465, KY, NPI 1891803722

Change of ownership 1

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

Practitioners & affiliated clinicians

Practitioners 5

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": "1450051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780704000000",
    "number": "1801261029",
    "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": "270-524-3641",
            "fax_number": "270-524-7595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1134 MAIN ST",
            "city": "MUNFORDVILLE",
            "state": "KY",
            "postal_code": "427659432",
            "telephone_number": "270-524-3641",
            "fax_number": "270-524-7595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOWLING GREEN-WARREN COUNTY COMMUNITY HOSPITAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-14",
        "last_updated": "2026-06-06",
        "certification_date": "2026-06-06",
        "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": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "KY",
            "license": "900223",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100405000",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1068.1",
            "affiliationName": "Cobius Healthcare Solutions",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "2720 Dundee Rd # 302",
            "city": "Northbrook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600622609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Med Center Health Primary Care Munfordville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Munfordville, KY

Sources for this page

Verify at the official NPI Registry.