# OWENSBORO HEALTH MEDICAL GROUP, INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** OWENSBORO HEALTH INC
- **Other names:** Owensboro Health Cardiothoracic Surgery
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1447203385
- **Legal business name:** OWENSBORO HEALTH INC
- **Authorized official:** RUSSELL S RANALLO (SECRETARY)
- **Authorized official phone:** (270) 685-7180

## Contact information

- **Practice address:** 1301 PLEASANT VALLEY RD, SUITE 201, OWENSBORO, KY 42303-9774
- **Practice address phone:** (270) 417-7500
- **Practice address fax:** (270) 417-7529
- **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 |
| --- | --- | --- | --- | --- |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | — | NULL | Yes |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | — | — | Yes |
| 363A00000X | Physician Assistant | — | NULL | — |
| 363A00000X | Physician Assistant | — | — | — |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 05/19/2006
- **Last updated:** 04/25/2025