| Organization Name: | OWENSBORO HEALTH MEDICAL GROUP, INC |
| NPI Number: | 1194161984 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JOHN T HACKBARTH (SECRETARY) |
| Mailing Address: | 1213 N Main St Beaver Dam |
| State: | KY US |
| Postal Code: | 423208955 |
| Phone Number: | 2702744771 |
| Fax Number: | 2702744884 |
| NPI Enumeration Date: | 05/20/2013 |
| NPI Last Update Date: | 04/20/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR1300X |
| License Number: | 900257 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | KY |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Rural Health |
| Taxonomy Definition: | |