# OWENSBORO HEALTH MEDICAL GROUP, INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** OWENSBORO HEALTH, INC
- **Other names:** Owensboro Health Medical Group - Family Medicine, Owensboro Health Diabetes and Endocrinology
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1154746600
- **Legal business name:** OWENSBORO HEALTH, INC
- **Authorized official:** RUSSELL S RANALLO (SECRETARY)
- **Authorized official phone:** (270) 417-4813

## Contact information

- **Practice address:** 811 E PARRISH AVE STE 101, OWENSBORO, KY 42303-3258
- **Practice address phone:** (270) 691-8040
- **Practice address fax:** (270) 691-8049
- **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 |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | KY | Yes |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | NULL | — |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | — | — |
| 208D00000X | General Practice Physician | — | NULL | — |
| 208D00000X | General Practice Physician | — | — | — |
| 363A00000X | Physician Assistant | — | KY | — |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |
| 363LF0000X | Family Nurse Practitioner | — | KY | — |

## Other

- **Enumeration date:** 02/20/2014
- **Last updated:** 09/11/2026