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Organization

OWENSBORO HEALTH MEDICAL GROUP, INC.

Active
Parent organization
OWENSBORO HEALTH, INC
Other names
OHTLMC Hospitalists
Organization subpart
Yes

Provider details

NPI number
Legal business name
OWENSBORO HEALTH, INC
Authorized official
MR. RUSSELL S. RANALLO (SECRETARY - CFO)
(270) 685-7180
Entity
Organization

Contact information

Practice address
910 WALLACE AVE, LEITCHFIELD, KY 42754-2414
(270) 259-9555
(270) 259-1669
Mailing address
PO BOX 23229, OWENSBORO, KY 42304-3229
(270) 688-1330
(270) 688-1338

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
363A00000X
Physician Assistant
363L00000X
Nurse Practitioner
363LA2100X
Acute Care Nurse Practitioner
363LF0000X
Family Nurse Practitioner
363LG0600X
Gerontology Nurse Practitioner

Other

Enumeration date
05/27/2022
Last updated
06/28/2023
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