# HAROLD W OWENS, M.D.

> 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
- **Other names:** Irvington Medical Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1639353642
- **Authorized official:** HAROLD WILBUR OWENS M.D. (MD/OWNER)
- **Authorized official phone:** (270) 547-2011

## Contact information

- **Practice address:** 109 CAROLINE ST., IRVINGTON, KY 40146-0367
- **Practice address phone:** (270) 547-2011
- **Practice address fax:** (270) 547-2031
- **Mailing address:** PO BOX 367, IRVINGTON, KY 40146-0367
- **Mailing address phone:** (270) 547-2011
- **Mailing address fax:** (270) 547-2031

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | 13345 | KY | Yes |

## Other

- **Enumeration date:** 12/27/2007
- **Last updated:** 07/24/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000062613 | ANTHEM | — |
| 01 | — | 011769099 | RR MEDICARE | — |
| 01 | — | 1049319 | PASSPORT | — |
| 01 | — | 1265701 | MEDICARE | — |
| 05 | — | 64133457 | — | KY |