Owensboro Health Medical Group INC

NPI #1639411606 in Greenville, Kentucky

Provider Information

NPI Number: 1639411606
Entity Type: Organization
Organization Name: Owensboro Health Medical Group INC
Subpart: Yes (part of a larger organization)
Parent Organization: OWENSBORO HEALTH INC
Primary Specialty: Physician Assistant
Enumeration Date: Mar 18, 2013
Last Updated: Feb 15, 2016

Practice Location

Address: 601 GREENE DR
City: Greenville
State: Kentucky
ZIP Code: 42345-1451
Phone: (270) 338-0600

Authorized Official

Name: JOHN T HACKBARTH JR.
Title: SECRETARY
Phone: (270) 417-4813

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X
Nurse Practitioner - Family — Family	363LF0000X
Physician Assistant	363A00000X	Primary

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