NPIMap

Organization Active NPI

Owensboro Health Inc

Doing business as Owensboro Health Outpatient Therapy

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Owensboro, KY
National Provider Identifier
1124007414
Registry record updated Jun 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy code 261QR0401X
Legal business name
OWENSBORO HEALTH INC
Doing business as
Owensboro Health Outpatient Therapy
Practice address
1006 Ford Ave
Owensboro, KY 42301-4677
Phone
(270) 683-9355
NPI assigned
Jan 13, 2006
Last updated
Jun 22, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Russ Ranallo
Title
Vice President of Financial Service
Phone
(270) 685-7180

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Comprehensive Outpatient Rehabilitation Facility (CORF) 261QR0401X NU Primary

Addresses

Primary practice location

1006 Ford Ave
Owensboro, KY 42301-4677

Mailing address

1201 Pleasant Valley Rd
Owensboro, KY 42303-9811
Phone (270) 417-2000

Other names 1

  • Owensboro Health Outpatient Therapy Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://urldefense.proofpoint.com/v2/url?u=https-3A__cobiusconnect.cobius.com-3A8291_Gateway_Documen Other Cobius Healthcare Solutions

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080416000091 KY Part A Provider - Comprehensive Outpatient Rehabilitation Facility 0547154650 Practice locations: Owensboro, KY

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1124007414. Details of each certification follow.

  • CCN 184512 Comprehensive outpatient rehabilitation facility · Active · Name & address match · Details

Comprehensive outpatient rehabilitation facility certification: CCN 184512

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
OWENSBORO HEALTH OUTPATIENT THERAPY - FORD
Certification status
Active
Provider type (POS)
Comprehensive outpatient rehabilitation facility
Participating since
Jun 28, 1995
Last certification
Sep 2, 2014
Ownership / control type
NON PROFIT OTHER
Facility address
1006 Ford Avenue
Owensboro, KY 42301

Other NPIs with the same Medicare PAC ID 8

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Omhs Behavioral Health14 organizations share this tax ID, including this one

Other organizations with this tax ID 13

Organizations that report the same tax identification number in the National Provider Directory.

View all 13

Member organizations 12

Organizations listed as members of this organization in the National Provider Directory.

Ownership & related parties

All facility ownership & control disclosures 7

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Owensboro Health Muhlenberg Community HospitalGreenville, KY, CCN 180004 Hospital Operational/Managerial Control
Other (100%)		 May 1, 2014
Jul 1, 2015
Owensboro Health Twin Lakes Medical Center SwingLeitchfield, KY, CCN 18U070 Hospital Operational/Managerial Control Jan 1, 2021
Owensboro Health Muhlenberg Community Hospital Long Term CareGreenville, KY, CCN 185008 Skilled nursing facility Operational/Managerial Control
Other (100%)		 May 1, 2014
Jul 1, 2015
Owensboro Health Home Care ServicesOwensboro, KY, CCN 187112 Home health agency 5% Or Greater Direct Ownership Interest Jul 14, 1995
Owensboro Health Muhlengerg Community Hospital Home HealthCentral City, KY, CCN 187096 Home health agency Operational/Managerial Control May 1, 2014
Owensboro Health Muhlenberg Community Hospital Family MedicinePowderly, KY, CCN 183478 Rural health clinic Operational/Managerial Control
Other (100%)		 May 1, 2014
Jul 1, 2015
Owensboro Health Twin Lakes Medical Center Family MedicineCaneyville, KY, CCN 188532 Rural health clinic Operational/Managerial Control (100%) Jan 1, 2021

Owned or controlled facilities with NPI records 8

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1137110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624320000000",
    "number": "1124007414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 PLEASANT VALLEY RD",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423039811",
            "telephone_number": "270-417-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1006 FORD AVE",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423014677",
            "telephone_number": "270-683-9355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OWENSBORO HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-13",
        "last_updated": "2021-06-22",
        "certification_date": "2021-06-22",
        "status": "A",
        "authorized_official_last_name": "RANALLO",
        "authorized_official_first_name": "RUSS",
        "authorized_official_title_or_position": "VICE PRESIDENT OF FINANCIAL SERVICE",
        "authorized_official_telephone_number": "270-685-7180",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://urldefense.proofpoint.com/v2/url?u=https-3A__cobiusconnect.cobius.com-3A8291_Gateway_Documen",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1068.1",
            "affiliationName": "Cobius Healthcare Solutions",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "2720 Dundee Rd # 302",
            "city": "Northbrook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600622609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Owensboro Health Outpatient Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Owensboro Health Outpatient Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Owensboro, KY

Sources for this page

Verify at the official NPI Registry.