# OWENSBORO HEALTH MEDICAL GROUP, INC.

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

## Provider details

- **NPI number:** 1770001877
- **Legal business name:** OWENSBORO HEALTH, INC
- **Authorized official:** MR. RUSSELL S RANALLO (SECRETARY)
- **Authorized official phone:** (270) 417-4813

## Contact information

- **Practice address:** 2025 W EVERLY BROTHERS BLVD STE 1A, POWDERLY, KY 42367-5401
- **Practice address phone:** (270) 377-2600
- **Practice address fax:** (270) 377-2610
- **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 |
| --- | --- | --- | --- | --- |
| 101YP2500X | Professional Counselor | — | NULL | — |
| 101YP2500X | Professional Counselor | — | — | — |
| 1041C0700X | Clinical Social Worker | — | NULL | — |
| 1041C0700X | Clinical Social Worker | — | — | — |
| 207Q00000X | Family Medicine Physician | — | KY | Yes |
| 207QS0010X | Sports Medicine (Family Medicine) Physician | — | KY | — |
| 207R00000X | Internal Medicine Physician | — | KY | — |
| 207RC0000X | Cardiovascular Disease Physician | — | KY | — |
| 207RC0001X | Clinical Cardiac Electrophysiology Physician | — | KY | — |
| 207RI0011X | Interventional Cardiology Physician | — | KY | — |
| 207X00000X | Orthopaedic Surgery Physician | — | KY | — |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | NULL | — |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | — | — |
| 2085R0202X | Diagnostic Radiology Physician | — | KY | — |
| 363A00000X | Physician Assistant | — | KY | — |
| 363AS0400X | Surgical Physician Assistant | — | KY | — |
| 363LF0000X | Family Nurse Practitioner | — | KY | — |
| 363LP0200X | Pediatric Nurse Practitioner | — | NULL | — |
| 363LP0200X | Pediatric Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 09/08/2017
- **Last updated:** 07/29/2024