Organization
OWENSBORO HEALTH MEDICAL GROUP, INC.
Active
Parent organization
OWENSBORO HEALTH, INC
Other names
OHMG Specialty Clinic
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
912 WALLACE AVE STE 105, LEITCHFIELD, KY 42754-2405
(270) 259-9506
(270) 259-1646
Mailing address
PO BOX 23229, OWENSBORO, KY 42304-3229
(270) 688-1330
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
—
—
207QS1201X
Sleep Medicine (Family Medicine) Physician
—
—
207R00000X
Internal Medicine Physician
—
—
207RH0003X
Hematology & Oncology Physician
—
—
207RP1001X
Pulmonary Disease Physician
Primary
—
—
363L00000X
Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
03/09/2021
Last updated
05/05/2023
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