# OWENSBORO HEALTH MEDICAL GROUP, INC.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** OWENSBORO HEALTH INC
- **Other names:** Owensboro Health Medical Group - Physical Medicine and Rehabilitation
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1518308667
- **Legal business name:** OWENSBORO HEALTH INC
- **Authorized official:** MR. RUSSELL S RANALLO (SECRETARY)
- **Authorized official phone:** (270) 417-4813

## Contact information

- **Practice address:** 1301 PLEASANT VALLEY RD, STE 500 D, OWENSBORO, KY 42303
- **Practice address phone:** (270) 417-7925
- **Practice address fax:** (270) 417-7909
- **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 |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | KY | Yes |
| 363LF0000X | Family Nurse Practitioner | — | KY | — |

## Other

- **Enumeration date:** 07/17/2013
- **Last updated:** 12/28/2022