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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 - Urology
Organization subpart
Yes
Provider details
NPI number
Legal business name
OWENSBORO HEALTH, INC
Authorized official
MR. RUSSELL S. RANALLO (CFO)
(270) 685-7180
Entity
Organization
Contact information
Practice address
444 S MAIN ST # A, MADISONVILLE, KY 42431-2846
(270) 417-7880
(270) 417-7888
Mailing address
PO BOX 23229, OWENSBORO, KY 42304-3229
(270) 688-1330
(270) 688-1338
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
NULL
208800000X
Urology Physician
Primary
—
—
363L00000X
Nurse Practitioner
—
NULL
363L00000X
Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
NULL
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
08/03/2022
Last updated
03/21/2023
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