# OWENSBORO HEALTH MEDICAL GROUP, INC.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** OWENSBORO HEALTH, INC
- **Other names:** Owensboro Health Henderson Healthplex
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1609394840
- **Legal business name:** OWENSBORO HEALTH, INC
- **Authorized official:** RUSSELL S RANALLO (SECERTARY)
- **Authorized official phone:** (270) 417-4813

## Contact information

- **Practice address:** 1200 BARRETT BLVD, HENDERSON, KY 42420-4950
- **Practice address phone:** (270) 844-8600
- **Practice address fax:** (270) 844-8610
- **Mailing address:** PO BOX 23229, OWENSBORO, KY 42304-3229
- **Mailing address phone:** (270) 691-8070
- **Mailing address fax:** (270) 691-8026

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | KY | Yes |
| 207QS0010X | Sports Medicine (Family Medicine) Physician | — | KY | — |
| 207R00000X | Internal Medicine Physician | — | KY | — |
| 207X00000X | Orthopaedic Surgery Physician | — | KY | — |
| 208000000X | Pediatrics Physician | — | KY | — |
| 2083X0100X | Occupational Medicine Physician | — | KY | — |
| 2085R0202X | Diagnostic Radiology Physician | — | KY | — |
| 208600000X | Surgery Physician | — | KY | — |
| 208VP0000X | Pain Medicine Physician | — | KY | — |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | NULL | — |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | — | — |
| 363A00000X | Physician Assistant | — | KY | — |
| 363L00000X | Nurse Practitioner | — | KY | — |
| 363LF0000X | Family Nurse Practitioner | — | KY | — |
| 363LP2300X | Primary Care Nurse Practitioner | — | KY | — |

## Other

- **Enumeration date:** 09/08/2017
- **Last updated:** 11/27/2023