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Organization

OWENSBORO HEALTH MEDICAL GROUP, INC.

Active
Parent organization
OWENSBORO HEALTH, INC
Other names
Owensboro Health Medical Group-Emergency Medicine
Organization subpart
Yes

Provider details

NPI number
Legal business name
OWENSBORO HEALTH, INC
Authorized official
MR. RUSSELL S RANALLO (SECRETARY)
(270) 417-7813
Entity
Organization

Contact information

Practice address
1201 PLEASANT VALLEY RD, OWENSBORO, KY 42303-9811
(270) 417-2000
Mailing address
PO BOX 23229, OWENSBORO, KY 42304-3229
(270) 688-1330
(270) 688-1338

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
363A00000X
Physician Assistant
363LF0000X
Family Nurse Practitioner

Other

Enumeration date
05/19/2021
Last updated
12/07/2022
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