Organization
OWENSBORO HEALTH MCAULEY CENTER
Active
Parent organization
OWENSBORO HEALTH INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
OWENSBORO HEALTH INC
Authorized official
MR. JOHN T HACKBARTH JR. (SECRETARY)
(270) 417-4813
Entity
Organization
Contact information
Practice address
819 E 9TH ST, OWENSBORO, KY 42303-3221
(270) 926-6575
(270) 691-8351
Mailing address
819 E 9TH ST, OWENSBORO, KY 42303-3221
(270) 926-6575
(270) 691-8351
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
740041
KY
363LF0000X
Family Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100265390
—
KY
Enumeration date
07/17/2008
Last updated
01/30/2014
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