Organization
OH MUHLENBERG, LLC
Active
Other names
Owensboro Health Ambulatory Surgery Center Muhlenberg
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN HACKBARTH (TREASURER)
(270) 417-4813
Entity
Organization
Contact information
Practice address
1008 MEDICAL CENTER DRIVE, SUITE B, POWDERLY, KY 42367-5463
(270) 338-9929
(270) 338-9282
Mailing address
PO BOX 387, 440 HOPKINSVILLE ST, GREENVILLE, KY 42345-1124
(270) 338-9929
(270) 338-9282
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
300142
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100171220
—
KY
Enumeration date
01/17/2006
Last updated
05/09/2016
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