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Organization

OWENSBORO HEALTH MEDICAL GROUP INC

Active
Other names
Owensboro Health Medical Group Premier Primary Care
Organization subpart
No

Provider details

NPI number
Authorized official
RUSS RANALLO (SECRETARY-CFO)
(270) 685-7180
Entity
Organization

Contact information

Practice address
1030 BURLEW BLVD STE A, OWENSBORO, KY 42303-2057
(270) 926-2273
Mailing address
PO BOX 23229, OWENSBORO, KY 42304-3229
(270) 691-8070

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
363LF0000X
Family Nurse Practitioner

Other

Enumeration date
12/10/2025
Last updated
12/10/2025
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