# OWENSBORO HEALTH MEDICAL GROUP, INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** OWENSBORO HEALTH, INC
- **Other names:** One Health Family Medicine Mayfair
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1942690250
- **Legal business name:** OWENSBORO HEALTH, INC
- **Authorized official:** JOHN T HACKBARTH JR. (SECRETARY)
- **Authorized official phone:** (270) 417-4813

## Contact information

- **Practice address:** 2315 MAYFAIR DR STE 14, OWENSBORO, KY 42301-4557
- **Practice address phone:** (270) 926-3725
- **Practice address fax:** (270) 926-1793
- **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 |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | KY | Yes |

## Other

- **Enumeration date:** 01/26/2015
- **Last updated:** 04/20/2015