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.
Organization
OWENSBORO HEALTH MEDICAL GROUP, INC
Active
Organization
OWENSBORO HEALTH MEDICAL GROUP, INC
Active
Parent organization
OWENSBORO HEALTH INC
Other names
Owensboro Health Medical Group - Family Medicine
Organization subpart
Yes
Provider details
NPI number
Legal business name
OWENSBORO HEALTH INC
Authorized official
MR. RUSSELL S RANALLO (SECRETARY)
(270) 417-4813
Entity
Organization
Contact information
Practice address
1000 BRECKENRIDGE ST, SUITE 401, OWENSBORO, KY 42303-0839
(270) 688-4401
(270) 688-4409
Mailing address
PO BOX 23229, OWENSBORO, KY 42304-3229
(270) 688-1330
(270) 688-1338
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
KY
207QG0300X
Geriatric Medicine (Family Medicine) Physician
—
NULL
207QG0300X
Geriatric Medicine (Family Medicine) Physician
—
—
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
—
NULL
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
—
—
208D00000X
General Practice Physician
—
KY
363A00000X
Physician Assistant
—
KY
363LF0000X
Family Nurse Practitioner
—
KY
Other
Enumeration date
08/14/2013
Last updated
02/01/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers