# 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
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1457731515
- **Legal business name:** OWENSBORO HEALTH INC
- **Authorized official:** RUSSELL S RANALLO (SECRETARY)
- **Authorized official phone:** (270) 417-4813

## Contact information

- **Practice address:** 1325 TRIPLETT ST \# A, OWENSBORO, KY 42303
- **Practice address phone:** (270) 686-8500
- **Practice address fax:** (270) 685-5467
- **Mailing address:** PO BOX 23229, OWENSBORO, KY 42304-3229
- **Mailing address phone:** (270) 686-8500
- **Mailing address fax:** (270) 685-5467

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 363A00000X | Physician Assistant | — | NULL | — |
| 363A00000X | Physician Assistant | — | — | — |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |
| 363LP2300X | Primary Care Nurse Practitioner | — | NULL | — |
| 363LP2300X | Primary Care Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 06/04/2015
- **Last updated:** 12/07/2022