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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 Medical Group - Urology
Organization subpart
Yes
Provider details
NPI number
Legal business name
OWENSBORO HEALTH, INC.
Authorized official
JOHN T HACKBARTH JR. (SECRETARY)
(270) 417-4813
Entity
Organization
Contact information
Practice address
440 HOPKINSVILLE ST, GREENVILLE, KY 42345-1124
(270) 377-2401
(270) 377-2404
Mailing address
PO BOX 23229, OWENSBORO, KY 42304-3229
(270) 688-1330
(270) 688-1338
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
NULL
208800000X
Urology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100406450 - MD
—
KY
Enumeration date
03/25/2016
Last updated
01/03/2018
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