Organization
OWENSBORO HEALTH MEDICAL GROUP, INC.
Active
Parent organization
OWENSBORO HEALTH, INC
Other names
Owensboro Health Medical Group - Women's Pavilion
Organization subpart
Yes
Provider details
NPI number
Legal business name
OWENSBORO HEALTH, INC
Authorized official
MR. RUSSELL S RANALLO (SECRETARY)
(270) 685-7180
Entity
Organization
Contact information
Practice address
2200 E PARRISH AVE STE 201, OWENSBORO, KY 42303-1449
(270) 926-3700
(270) 926-0368
Mailing address
PO BOX 23229, OWENSBORO, KY 42304-3229
(270) 688-1330
(270) 688-1338
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
—
363LW0102X
Women's Health Nurse Practitioner
—
—
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
—
—
367A00000X
Advanced Practice Midwife
—
—
Other
Enumeration date
05/26/2022
Last updated
09/09/2024
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