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OWENSBORO HEALTH MEDICAL GROUP INC. NPI 1093251548


NPI Information

NPI: 1093251548
Provider Name: OWENSBORO HEALTH MEDICAL GROUP, INC.

Doing Business As: OWENSBORO HEALTH MEDICAL GROUP - URGENT CARE

Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

CLIA Number: 18D2008598

Address:
811 E PARRISH AVE
OWENSBORO, KY
ZIP 42303
Phone: (270) 691-8040
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OWENSBORO HEALTH MEDICAL GROUP, INC. is a family nurse practitioner in Owensboro, KY. OWENSBORO HEALTH MEDICAL GROUP, INC. NPI is 1093251548. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Owensboro Health Medical Group - Urgent Care.

The provider's business location address is:

811 E PARRISH AVE
OWENSBORO, KY
ZIP 42303-258
Phone: (270) 691-8040
Fax: (270) 691-8049

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 18D2008598 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/9/2017 and was last updated on 1/3/2018.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineMDKENTUCKYNo
2363A00000XPhysician AssistantPAKENTUCKYNo
3363LP2300XNurse PractitionerPrimary CareKENTUCKYNo
4363LF0000XNurse PractitionerFamilyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
17100444170 - NPMEDICAIDKENTUCKY

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.