Commonwealth Health Corporation, Inc
Organization Active NPI Family Medicine Physician · Scottsville, KY
NPI 1821371980 · NPPES record last updated Dec 12, 2011
Key facts
- NPI
- 1821371980
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- COMMONWEALTH HEALTH CORPORATION, INC
- Practice address
- 217 W Main St
Scottsville, KY 42164-1122 - Phone
- (270) 239-9355
- Fax
- (270) 239-9356
- NPI assigned
- Sep 26, 2011
- Organization subpart
- No
Authorized official
- Name
- Ronald G. Sowell
- Title
- Executive Vice-President
- Phone
- (270) 745-1536
Other NPIs on the same Medicare enrollment 42
Practitioners 1
-
Teresia F. Huddleston, MSRD, LD
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 Medicine Physician |
207Q00000X | Yes | ||
| Nurse Practitioner |
363L00000X |
Addresses
Primary practice location
217 W Main St
Scottsville, KY 42164-1122
Mailing address
PO Box 2697
Bowling Green, KY 42102-7697
Phone (270) 745-1100
Other names
- THE MEDICAL CENTER SCOTTSVILLE PRIMARY CARE CLINIC
Other providers in Scottsville, KY
- Nickolas Wayne Claise
- Michael Wayne Clauson
- 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
All providers in Scottsville, KY · Family Medicine Physician 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 12, 2011. 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.