Organization
OWENSBORO HEALTH MEDICAL GROUP INC
Active
Parent organization
OWENSBORO HEALTH INC
Other names
Owensboro Health Medical Group - Family Medicine
Organization subpart
Yes
Provider details
NPI number
Legal business name
OWENSBORO HEALTH INC
Authorized official
JOHN T HACKBARTH JR. (SECRETARY)
(270) 417-4813
Entity
Organization
Contact information
Practice address
1871 US HIGHWAY 41A S, DIXON, KY 42409-9448
(270) 639-9440
(270) 639-9446
Mailing address
PO BOX 23229, OWENSBORO, KY 42304-3229
(270) 691-8070
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
KY
Other
Enumeration date
06/19/2015
Last updated
01/04/2018
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