Organization
OWENSBORO HEALTH MEDICAL GROUP, INC.
Active
Parent organization
OWENSBORO HEALTH, INC
Other names
Owensboro Health Medical Group - Primary Care and Neurology
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
9847 ELIZABETHTOWN RD, BIG CLIFTY, KY 42712-5880
(270) 242-2000
Mailing address
PO BOX 23229, OWENSBORO, KY 42304-3229
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
2084N0400X
Neurology Physician
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
12/10/2020
Last updated
08/08/2024
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