Organization
OWENSBORO HEALTH INC
Active
Other names
Owensboro Health Transitional Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RUSS RANALLO (VICE PRESIDENT OF FINANCIAL SERVICE)
(270) 685-7180
Entity
Organization
Contact information
Practice address
1201 PLEASANT VALLEY RD, OWENSBORO, KY 42303-9811
(270) 417-2000
Mailing address
1201 PLEASANT VALLEY RD, OWENSBORO, KY 42303-9811
(270) 417-2000
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
100735
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000054926
ANTHEM BCBS KY
KY
05
—
1022441
—
KY
05
—
200134380
—
IN
Enumeration date
01/17/2006
Last updated
06/22/2021
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