# OWENSBORO HEALTH MEDICAL GROUP, INC.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** OWENSBORO HEALTH, INC
- **Other names:** Owensboro Health Medical Group - Urology
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1770210387
- **Legal business name:** OWENSBORO HEALTH, INC
- **Authorized official:** MR. RUSSELL S. RANALLO (CFO)
- **Authorized official phone:** (270) 685-7180

## Contact information

- **Practice address:** 444 S MAIN ST \# A, MADISONVILLE, KY 42431-2846
- **Practice address phone:** (270) 417-7880
- **Practice address fax:** (270) 417-7888
- **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 |
| --- | --- | --- | --- | --- |
| 208800000X | Urology Physician | — | NULL | Yes |
| 208800000X | Urology Physician | — | — | Yes |
| 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