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Organization

OWENSBORO HEALTH MEDICAL GROUP, INC

Active
Parent organization
OWENSBORO HEALTH, INC
Other names
One Health Family Medicine Mayfair
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
2315 MAYFAIR DR STE 14, OWENSBORO, KY 42301-4557
(270) 926-3725
(270) 926-1793
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
Primary
KY

Other

Enumeration date
01/26/2015
Last updated
04/20/2015
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