Organization
OWENSBORO HEALTH INC
Active
Other names
Owensboro Health Regional Hospital
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
PO BOX 20007, OWENSBORO, KY 42304-0007
(270) 417-2000
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
100092
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000054926
ANTHEM BCBS KY
KY
01
—
080138000
BLACK LUNG PROVIDER
KY
05
—
100275690A
—
IN
05
—
1022441
—
KY
01
—
163998900
DEPT OF LABOR
KY
05
—
200134380
—
IN
Enumeration date
01/13/2006
Last updated
06/22/2021
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