# 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:** 1558794537
- **Legal business name:** OWENSBORO HEALTH INC
- **Authorized official:** MR. RUSSELL S RANALLO (SECRETARY)
- **Authorized official phone:** (270) 417-4813

## Contact information

- **Practice address:** 1000 BRECKENRIDGE ST, SUITE 401, OWENSBORO, KY 42303-0839
- **Practice address phone:** (270) 688-4401
- **Practice address fax:** (270) 688-4409
- **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 |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | KY | Yes |
| 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