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Organization

OWENSBORO HEALTH MEDICAL GROUP, INC

Active
Parent organization
OWENSBORO HEALTH INC
Other names
Owensboro Health Madisonville Healthplex, Owensboro Health Medical Group - MultiCare
Organization subpart
Yes

Provider details

NPI number
Legal business name
OWENSBORO HEALTH INC
Authorized official
MR. RUSSELL S RANALLO (SECRETARY)
(270) 417-4813
Entity
Organization

Contact information

Practice address
510 RUBY DR, MADISONVILLE, KY 42431-2168
(270) 399-7900
(270) 399-7910
Mailing address
PO BOX 23229, OWENSBORO, KY 42304-3229
(270) 688-1330
(270) 688-1338

Taxonomy

Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
200235
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
200235
STATE LICENSURE NUMBER
KY
Enumeration date
03/13/2007
Last updated
12/01/2022
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