Organization
OWENSBORO HEALTH MEDICAL GROUP, INC
Active
Parent organization
OWENSBORO HEALTH, INC.
Other names
Owensboro Health Medical Group - Behavioral Health
Organization subpart
Yes
Provider details
NPI number
Legal business name
OWENSBORO HEALTH, INC.
Authorized official
RUSSELL S RANALLO (SECRETARY)
(270) 417-4813
Entity
Organization
Contact information
Practice address
2211 MAYFAIR DR, SUITE 409, OWENSBORO, KY 42301
(270) 417-7980
(270) 417-7989
Mailing address
PO BOX 23229, OWENSBORO, KY 42304-3229
(270) 688-1330
(270) 688-1338
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
103TC1900X
Counseling Psychologist
—
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
05/15/2013
Last updated
06/02/2025
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