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Contact Information

OWENSBORO HEALTH MEDICAL GROUP, INC
2211 MAYFAIR DR STE 305
OWENSBORO, KY42301-4572
 Phone: 270-688-3700
 Fax: 270-688-3709
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Plastic Surgery

208200000X 02 Physician/General Surgery
 

Family

363LF0000X 50 Nurse Practitioner
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Physician Assistant

363A00000X 97 Physician Assistant
 

Plastic and Reconstructive Surgery

2086S0122X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for OWENSBORO HEALTH MEDICAL GROUP, INC

NPI # 1033522271
LBN Legal business name OWENSBORO HEALTH MEDICAL GROUP, INC
Authorized official RUSSELL RANALLO - (SECRETARY)
Entity Organization
Organization subpart 1 Yes
Enumeration date 06/05/2014
Last updated 06/07/2023 - About 3 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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