Bowling Green Warren County Community Hospital Corporation | |
350 Park St Ste 206 Bowling Green KY 42101-1784 | |
(270) 782-9424 | |
(270) 782-9445 |
Full Name | Bowling Green Warren County Community Hospital Corporation |
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Speciality | Psychiatry & Neurology |
Location | 350 Park St Ste 206, Bowling Green, Kentucky |
Authorized Official Name and Position | Michele Lawless (EXECUTIVE VICE PRESIDENT / CFO) |
Authorized Official Contact | 2707451500 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Bowling Green Warren County Community Hospital Corporation Po Box 90010 Bowling Green KY 42102-9010 Ph: (270) 745-1100 | Bowling Green Warren County Community Hospital Corporation 350 Park St Ste 206 Bowling Green KY 42101-1784 Ph: (270) 782-9424 |
NPI Number | 1942990767 |
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Provider Enumeration Date | 05/15/2023 |
Last Update Date | 05/15/2023 |
Certification Date | 05/15/2023 |
Medicare PECOS PAC ID | 7719899947 |
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Medicare Enrollment ID | O20230703000877 |
Identifier | Type | State | Issuer |
---|---|---|---|
1942990767 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
Provider Name | Jianhua Zhu |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1033115449 PECOS PAC ID: 3870620776 Enrollment ID: I20100426000156 |
Provider Name | Wesley Chou |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1841294717 PECOS PAC ID: 7416084009 Enrollment ID: I20100430000374 |
Provider Name | Eme Oko Igbokwe |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1346432507 PECOS PAC ID: 3779497466 Enrollment ID: I20110803000257 |
Provider Name | Jae Eun Lee |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1346622792 PECOS PAC ID: 7113221581 Enrollment ID: I20210527001787 |
Provider Name | Xue Yang |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1841854015 PECOS PAC ID: 7214260637 Enrollment ID: I20231130003777 |
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