Lifeline Health Care Of Kentucky, INC.
Clinic/Center, Rural Health in Bowling Green, KY. Organization (NPI-2).
NPI number1629001052
StatusActive
Last updated in NPPESSep 11, 2025
Details
- NPI
- 1629001052
- Entity type
- Organization (NPI-2)
- Legal business name
- Lifeline Health Care Of Kentucky, INC.
- Organization subpart
- No
- Enumeration date
- Jul 9, 2006
- Last updated
- Sep 11, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QR1300X | Clinic/Center, Rural Health | – | – | Yes |
| 251E00000X | Home Health | – | – | |
| 251J00000X | Nursing Care | – | – | |
| 261QR0400X | Clinic/Center, Rehabilitation | – | – |
Practice location
1600 Scottsville RdSuite 300
Bowling Green, KY 42104-3217
Phone 270-781-0702 · Fax 270-781-8489
Mailing address
600 Clifty StSomerset, KY 42503-1733
Phone 606-679-4100 · Fax 606-678-7306
Authorized official
James T. Wilson
Ceo
6066794100
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