OWENSBORO HEALTH MEDICAL GROUP INC NPI 1760905616

NPI Information

NPI: 1760905616
Provider Name: OWENSBORO HEALTH MEDICAL GROUP, INC

Doing Business As: OWENSBORO HEALTH UNIFIRST

Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

Address:
2801 UNIFIRST DR
OWENSBORO, KY
ZIP 42301
Phone: (270) 713-0478
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OWENSBORO HEALTH MEDICAL GROUP, INC is a family nurse practitioner in Owensboro, KY. OWENSBORO HEALTH MEDICAL GROUP, INC NPI is 1760905616. The provider is registered as an organization entity type.
The provider Is Doing Business As Owensboro Health Unifirst.

The provider's business location address is:

2801 UNIFIRST DR
OWENSBORO, KY
ZIP 42301-701
Phone: (270) 713-0478

The provider's authorized official is John T Hackbarth .
The authorized official title is Secretary and has the following contact phone number (270) 417-4813.

The CLIA number assigned to this NPI record is 18D2135310 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/24/2017 and was last updated on 9/18/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License State	Primary
1	261QU0200X	Clinic/Center	Urgent Care		No
2	363A00000X	Physician Assistant			No
3	363L00000X	Nurse Practitioner			No
4	363LF0000X	Nurse Practitioner	Family	KENTUCKY	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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