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
MR. RUSSELL S RANALLO (SECRETARY)
(270) 417-4813
Entity
Organization
Contact information
Practice address
420 HOPKINSVILLE ST, GREENVILLE, KY 42345-1102
(270) 377-2405
(270) 377-2406
Mailing address
PO BOX 23229, OWENSBORO, KY 42304-3229
(270) 688-1330
(270) 688-1338
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
207Q00000X
Family Medicine Physician
Primary
—
KY
207R00000X
Internal Medicine Physician
—
KY
207V00000X
Obstetrics & Gynecology Physician
—
KY
207VM0101X
Maternal & Fetal Medicine Physician
—
KY
207X00000X
Orthopaedic Surgery Physician
—
KY
213ES0103X
Foot & Ankle Surgery Podiatrist
—
—
363A00000X
Physician Assistant
—
KY
363AS0400X
Surgical Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
KY
363LF0000X
Family Nurse Practitioner
—
KY
Other
Enumeration date
04/04/2016
Last updated
12/28/2022
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