Organization
OWENSBORO HEALTH MEDICAL GROUP INC
Active
Parent organization
OWENSBORO HEALTH INC
Other names
Owensboro Health Medical Group - Surgical Specialists
Organization subpart
Yes
Provider details
NPI number
Legal business name
OWENSBORO HEALTH INC
Authorized official
MR. RUSSELL S RANALLO (SECRETARY)
(270) 417-4813
Entity
Organization
Contact information
Practice address
440 HOPKINSVILLE ST, SUITE 2E, GREENVILLE, KY 42345-1124
(270) 377-0111
(270) 377-0113
Mailing address
PO BOX 23229, OWENSBORO, KY 42304-3229
(270) 688-1330
(270) 688-1338
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
207X00000X
Orthopaedic Surgery Physician
—
—
208600000X
Surgery Physician
Primary
—
—
208D00000X
General Practice Physician
—
—
363AS0400X
Surgical Physician Assistant
—
—
Other
Enumeration date
05/21/2015
Last updated
12/28/2022
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