COMMONWEALTH HEALTH FREE CLINIC, INC (NPI# 1114169661) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114169661 |
| Entity Type | Organization |
| Organization Name | COMMONWEALTH HEALTH FREE CLINIC, INC |
| Other Organization Name | THE DENTAL CLINIC |
| Practice Address |
740 E 10th Ave Bowling Green KY 42101-2318 |
| Mailing Address |
Po Box 9577 Bowling Green KY 42102-9577 |
| Practice Telephone | 2707819765 |
| Practice Fax Number | 2707826461 |
| Mailing Telephone | 2707451467 |
| Mailing Fax Number | 2707451156 |
| Enumeration Date | 2009-03-30 |
| Last Update Date | 2009-03-30 |
| Authorized Official Name | RONALD G. SOWELL (EXECUTIVE VICE PRESIDENT) |
| Authorized Official Telephone | 2707819765 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Other Name | Type Code |
|---|---|
| THE DENTAL CLINIC | Doing Business As Name - Organization |
| Street Address |
740 E 10TH AVE |
| City | BOWLING GREEN |
| State | KY |
| Zip Code | 42101-2318 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295104800 | Commonwealth Health Free Clinic, Inc. | Nurse Practitioner | 740 E 10th Ave, Bowling Green, KY 42101-2318 | 2015-09-24 |
| 1376920108 | Joshua Daniel Phillips | Dentist | 740 E 10th Ave, Bowling Green, KY 42101-2318 | 2015-04-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922608827 | Heidi Denise Estes | Nurse Practitioner | 651 U.S. 31 W Bypass Ste 106, Bowling Green, KY 42101 | 2020-10-29 |
| 1205476561 | Emily Nell Conner | Pharmacist | 350 West Us 31 Bypass, Bowling Green, KY 42101 | 2020-01-14 |
| 1598304180 | Elizabeth Page Appling | Nurse Practitioner | 1681 Normal Dr., Bowling Green, KY 42101 | 2019-12-30 |
| 1598306227 | Heather Wells | Nurse Practitioner | 427 U.S. 31w Bypass, Bowling Green, KY 42101 | 2019-10-03 |
| 1275182255 | The Kidz Club-pdn, LLC | Nursing Care | 1537 Highway 185, Suite 3, Bowling Green, KY 42101 | 2019-09-11 |
| 1841756525 | Balance Therapeutic Care, Counseling Services LLC | Counselor | 661 A, 31-w Bypass, Bowling Green, KY 42101 | 2019-02-18 |
| 1184104895 | Paige Spear | Specialist | 661 Us 31w Byp Ste C, Bowling Green, KY 42101 | 2018-08-21 |
| 1205364411 | Amanda Katherin Walden | Dentist | 725 A Kenton Street, Bowling Green, KY 42101 | 2017-06-01 |
| 1932632098 | Tj & L Consulting, LLC | In Home Supportive Care | 661 Us 31w By-pass, Suite G, Bowling Green, KY 42101 | 2017-04-06 |
| 1265974117 | Kentucky Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1473 Kentucky Street, Bowling Green, KY 42101 | 2016-11-09 |
| Find all providers in zip 42101 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578057147 | Keegan Chandler | Dentist | 1785 Campbell Ln Ste 100, Bowling Green, KY 42104-1091 | 2018-06-18 |
| 1831572460 | Casey Edward Travelsted | Dentist | 940 Us 31 W Bypass, Bowling Green, KY 42103 | 2015-07-01 |
| 1164770103 | Dr. William Kelley Cherry | Dentist | 1640 Scottsville Rd. Suite 300, Suite 300, Bowling Green, KY 42104 | 2012-08-23 |
| 1023384815 | Michael W. Howell, D.m.d. | Dentist | 952 Us 31 W Bypass, Bowling Green, KY 42102-4939 | 2012-03-27 |
| 1942579172 | Andrew M Burt Dmd Psc | Dentist | 546 Park St Ste 400, Bowling Green, KY 42101-1780 | 2011-12-16 |
| 1124304555 | Surpreet Kaur | Dentist | 1111 S Main St Ste 330, Bowling Green, OH 43402-4747 | 2011-10-31 |
| 1104020114 | Daniel Joseph Simon | Dentist | 625 Three Springs Rd, Bowling Green, KY 42104 | 2007-06-13 |
| 1053538793 | Ronald L Yaeger | Dentist | 1064 U S 31 West By Pass, Bowling Green, KY 42101-2418 | 2007-04-20 |
| 1932221751 | George Thomas Ransdell | Dentist | 2601 Nashville Rd, Bowling Green, KY 42101-4036 | 2007-04-04 |
| 1184742405 | Timothy Wayne Whitaker | Dentist | 1602 Westen St, Bowling Green, KY 42104-4156 | 2007-03-26 |
| Find all providers in BOWLING GREEN | ||||
| City | BOWLING GREEN |
| Zip Code | 42101 |
Please comment or provide details below to improve the information on COMMONWEALTH HEALTH FREE CLINIC, INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.