BOWLING GREEN WARREN COUNTY PRIMARY CARE CENTER INC. NPI 1336268234

NPI Information

BOWLING GREEN WARREN COUNTY PRIMARY CARE CENTER, INC. is a federally qualified health center (fqhc) clinic center in Bowling Green, KY. BOWLING GREEN WARREN COUNTY PRIMARY CARE CENTER, INC. NPI is 1336268234. The provider is registered as an organization entity type.
The provider Is Doing Business As Fairview Community Health Center.

The provider's business location address is:

225 NATCHEZ TRACE AVENUE
BOWLING GREEN, KY
ZIP 42103-995
Phone: (270) 783-3573
Fax: (270) 783-4081

The provider's authorized official is Chris Keyser .
The authorized official title is Ceo and has the following contact phone number (270) 783-4251.

The CLIA number assigned to this NPI record is 18D2047740 - federally qualified health center with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 3/29/2007 and was last updated on 10/23/2019.

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:

Other Identifiers

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

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