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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 Mobile Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
OWENSBORO HEALTH, INC
Authorized official
RUSSELL S. RANALLO (SECRETARY-CFO)
(270) 685-7180
Entity
Organization
Contact information
Practice address
811 E PARRISH AVE STE 102-B, OWENSBORO, KY 42303-3258
(270) 688-1009
(270) 688-1010
Mailing address
PO BOX 23229, OWENSBORO, KY 42304-3229
(270) 688-1330
(270) 688-1338
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
208000000X
Pediatrics Physician
—
NULL
208000000X
Pediatrics Physician
—
—
363A00000X
Physician Assistant
—
NULL
363A00000X
Physician Assistant
—
—
363LF0000X
Family Nurse Practitioner
—
NULL
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
04/24/2024
Last updated
09/09/2024
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