# OWENSBORO HEALTH MEDICAL GROUP INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** OWENSBORO HEALTH INC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1861731168
- **Legal business name:** OWENSBORO HEALTH INC
- **Authorized official:** JOHN T HACKBARTH JR. (SECRETARY)
- **Authorized official phone:** (270) 417-4813

## Contact information

- **Practice address:** 2835 FARRELL CRES, OWENSBORO, KY 42303-1393
- **Practice address phone:** (270) 926-9033
- **Mailing address:** 1201 PLEASANT VALLEY RD, OWENSBORO, KY 42303-9811
- **Mailing address phone:** (270) 691-8070
- **Mailing address fax:** (270) 691-8026

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 300176 | KY | Yes |

## Other

- **Enumeration date:** 02/06/2013
- **Last updated:** 02/15/2016