# OWENSBORO HEALTH MEDICAL GROUP, INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** OWENSBORO HEALTH, INC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1487047635
- **Legal business name:** OWENSBORO HEALTH, INC
- **Authorized official:** JOHN T HACKBARTH JR. (SECRETARY)
- **Authorized official phone:** (270) 417-4813

## Contact information

- **Practice address:** 1201 PLEASANT VALLEY RD, OWENSBORO, KY 42303-9811
- **Practice address phone:** (270) 688-1330
- **Mailing address:** 1201 PLEASANT VALLEY RD, OWENSBORO, KY 42303-9811
- **Mailing address phone:** (270) 688-1330

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | KY | Yes |

## Other

- **Enumeration date:** 03/12/2015
- **Last updated:** 03/12/2015