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Organization
OWENSBORO HEALTH MEDICAL GROUP, INC
Active
Organization
OWENSBORO HEALTH MEDICAL GROUP, INC
Active
Parent organization
OWENSBORO HEALTH, INC
Other names
Owensboro Health Wound Center-Ohio County
Organization subpart
Yes
Provider details
NPI number
Legal business name
OWENSBORO HEALTH, INC
Authorized official
RUSSELL S RANALLO (SECRETARY)
(270) 417-4813
Entity
Organization
Contact information
Practice address
1307 N MAIN ST, BEAVER DAM, KY 42320-8957
(270) 274-5602
(270) 274-5612
Mailing address
PO BOX 23229, OWENSBORO, KY 42304-3229
(270) 688-1330
(270) 688-1338
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
—
KY
363L00000X
Nurse Practitioner
Primary
—
NULL
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
02/06/2014
Last updated
12/01/2022
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