Organization
OWENSBORO HEALTH MEDICAL GROUP, INC.
Active
Parent organization
OWENSBORO HEALTH, INC.
Other names
Owensboro Health Medical Group - Urgent Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
OWENSBORO HEALTH, INC.
Authorized official
JOHN T HACKBARTH JR. (SECRETARY)
(270) 417-4813
Entity
Organization
Contact information
Practice address
811 E PARRISH AVE, OWENSBORO, KY 42303-3258
(270) 691-8040
(270) 691-8049
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
MD
KY
363A00000X
Physician Assistant
PA
KY
363LF0000X
Family Nurse Practitioner
Primary
—
—
363LP2300X
Primary Care Nurse Practitioner
—
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100444170 - NP
—
KY
Enumeration date
01/09/2017
Last updated
01/03/2018
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