Provider Demographics
NPI:1396715967
Name:UHS OF BOWLING GREEN LLC
Entity type:Organization
Organization Name:UHS OF BOWLING GREEN LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CFO SR VP
Authorized Official - Prefix:
Authorized Official - First Name:STEVE
Authorized Official - Middle Name:
Authorized Official - Last Name:FILTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-768-3300
Mailing Address - Street 1:1035 PORTER PIKE RD
Mailing Address - Street 2:
Mailing Address - City:BOWLING GREEN
Mailing Address - State:KY
Mailing Address - Zip Code:42103-9581
Mailing Address - Country:US
Mailing Address - Phone:270-843-1199
Mailing Address - Fax:
Practice Address - Street 1:1035 PORTER PIKE RD
Practice Address - Street 2:
Practice Address - City:BOWLING GREEN
Practice Address - State:KY
Practice Address - Zip Code:42103-9581
Practice Address - Country:US
Practice Address - Phone:270-843-1199
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-25
Last Update Date:2013-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY100564282E00000X, 282NR1301X, 283X00000X, 283XC2000X, 284300000X, 363L00000X, 283Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes283Q00000XHospitalsPsychiatric HospitalGroup - Single Specialty
No282E00000XHospitalsLong Term Care Hospital
No282NR1301XHospitalsGeneral Acute Care HospitalRural
No283X00000XHospitalsRehabilitation Hospital
No283XC2000XHospitalsRehabilitation HospitalChildren
No284300000XHospitalsSpecial Hospital
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY29100096Medicaid
KY65941296Medicaid
KY29200094Medicaid
KY45002284Medicaid
KY000000330593OtherBLUE CROSS
KY02000024Medicaid
KY184017Medicare Oscar/Certification