Organization
OWENSBORO HEALTH TWIN LAKES REGIONAL MEDICAL CENTER, INC
Active
Parent organization
OWENSBORO HEALTH TWIN LAKES REGIONAL MEDICAL CENTER, INC
Other names
Owensboro Health Twin Lakes Medical Center Family Medicine
Organization subpart
Yes
Provider details
NPI number
Legal business name
OWENSBORO HEALTH TWIN LAKES REGIONAL MEDICAL CENTER, INC
Authorized official
RUSSELL S RANALLO (VICE PRESIDENT OF FINANCE)
(270) 685-7180
Entity
Organization
Contact information
Practice address
301 SUNSET DR, CANEYVILLE, KY 42721-9172
(270) 879-3711
Mailing address
PO BOX 23229, OWENSBORO, KY 42304-3229
(270) 688-1330
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100734490
—
KY
Enumeration date
12/07/2020
Last updated
12/07/2022
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