| Organization Name: | OH MUHLENBERG, LLC |
| NPI Number: | 1457330573 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JOHN HACKBARTH (TREASURER) |
| Mailing Address: | 1008 Medical Center Drive Suite B Powderly |
| State: | KY US |
| Postal Code: | 423675463 |
| Phone Number: | 2703389929 |
| Fax Number: | 2703389282 |
| NPI Enumeration Date: | 01/17/2006 |
| NPI Last Update Date: | 05/09/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QA1903X |
| License Number: | 300142 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | KY |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Ambulatory Surgical |
| Taxonomy Definition: | |