# OWENSBORO HEALTH MEDICAL GROUP, INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** OWENSBORO HEALTH, INC
- **Other names:** Owensboro Health Wound Center-Ohio County
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1154745412
- **Legal business name:** OWENSBORO HEALTH, INC
- **Authorized official:** RUSSELL S RANALLO (SECRETARY)
- **Authorized official phone:** (270) 417-4813

## Contact information

- **Practice address:** 1307 N MAIN ST, BEAVER DAM, KY 42320-8957
- **Practice address phone:** (270) 274-5602
- **Practice address fax:** (270) 274-5612
- **Mailing address:** PO BOX 23229, OWENSBORO, KY 42304-3229
- **Mailing address phone:** (270) 688-1330
- **Mailing address fax:** (270) 688-1338

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208600000X | Surgery Physician | — | KY | — |
| 363L00000X | Nurse Practitioner | — | NULL | Yes |
| 363L00000X | Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 02/06/2014
- **Last updated:** 12/01/2022