# OWENSBORO HEALTH MEDICAL GROUP, INC.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** OWENSBORO HEALTH, INC
- **Other names:** Owensboro Health Medical Group - Women's Pavilion
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1427796663
- **Legal business name:** OWENSBORO HEALTH, INC
- **Authorized official:** MR. RUSSELL S RANALLO (SECRETARY)
- **Authorized official phone:** (270) 685-7180

## Contact information

- **Practice address:** 2200 E PARRISH AVE STE 201, OWENSBORO, KY 42303-1449
- **Practice address phone:** (270) 926-3700
- **Practice address fax:** (270) 926-0368
- **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 |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |
| 363A00000X | Physician Assistant | — | NULL | — |
| 363A00000X | Physician Assistant | — | — | — |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |
| 363LW0102X | Women's Health Nurse Practitioner | — | NULL | — |
| 363LW0102X | Women's Health Nurse Practitioner | — | — | — |
| 363LX0001X | Obstetrics & Gynecology Nurse Practitioner | — | NULL | — |
| 363LX0001X | Obstetrics & Gynecology Nurse Practitioner | — | — | — |
| 367A00000X | Advanced Practice Midwife | — | NULL | — |
| 367A00000X | Advanced Practice Midwife | — | — | — |

## Other

- **Enumeration date:** 05/26/2022
- **Last updated:** 09/09/2024