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COMMONWEALTH HEALTH CORPORATION NPI 1114031069


NPI Information

NPI: 1114031069
Provider Name: COMMONWEALTH HEALTH CORPORATION

Doing Business As: BARREN RIVER ADULT DAY CARE

Classification: Clinic/Center - 261QA0600X
Entity Type: Organization

Specialization: Adult Day Care

CLIA Number: 18D1011031

Address:
800 PARK ST
BOWLING GREEN, KY
ZIP 42101
Phone: (270) 796-5555
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COMMONWEALTH HEALTH CORPORATION is an adult day care clinic center in Bowling Green, KY. COMMONWEALTH HEALTH CORPORATION NPI is 1114031069. The provider is registered as an organization entity type.
The provider Is Doing Business As Barren River Adult Day Care.

The provider's business location address is:

800 PARK ST
BOWLING GREEN, KY
ZIP 42101-356
Phone: (270) 796-5555
Fax: (270) 796-5550

The provider's authorized official is Ronald G. Sowell .
The authorized official title is Executive Vice President and has the following contact phone number (270) 745-1536.

The CLIA number assigned to this NPI record is 18D1011031 - intermediate care facility/individuals with intellectual disability with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/18/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QA0600XClinic/CenterAdult Day Care750010KENTUCKYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
133000522MEDICAIDKENTUCKY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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