Organization
OWENSBORO HEALTH MEDICAL GROUP, INC
Active
Parent organization
OWENSBORO HEALTH, INC
Other names
Owensboro Health Medical Group - Family Medicine
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
1213 N MAIN ST, BEAVER DAM, KY 42320-8955
(270) 274-4771
(270) 274-4884
Mailing address
PO BOX 23229, OWENSBORO, KY 42304-3229
(270) 688-1330
(270) 688-1338
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
900257
KY
Other
Enumeration date
05/20/2013
Last updated
12/07/2022
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