NPIMap

Organization Active NPI

Owensboro Health Twin Lakes Regional Medical Center, Inc

  • Medicare Defined Swing Bed Hospital Unit
  • Leitchfield, KY
National Provider Identifier
1265029425
Registry record updated Dec 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X
Legal business name
OWENSBORO HEALTH TWIN LAKES REGIONAL MEDICAL CENTER, INC
Practice address
910 Wallace Ave
Leitchfield, KY 42754-2414
Phone
(270) 259-9400
NPI assigned
Dec 22, 2020
Organization subpart
Yes
Parent organization
OWENSBORO HEALTH TWIN LAKES REGIONAL MEDICAL CENTER, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 22, 2020

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

Authorized official

Name
Russ Ranallo
Title
Vice President of Finance
Phone
(270) 685-7180

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X Primary

Addresses

Primary practice location

910 Wallace Ave
Leitchfield, KY 42754-2414

Mailing address

PO Box 20007
Owensboro, KY 42304-0007

Other names 1

  • Owensboro Health Twin Lakes Medical Center Swing Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210115002143 KY Part A Provider - Hospital 3779996558 Practice locations: Leitchfield, KY

Hospital certification: CCN 18U070

Legal name
OWENSBORO HEALTH TWIN LAKES REGIONAL MEDICAL CENTER, INC
Doing business as
OWENSBORO HEALTH TWIN LAKES MEDICAL CENTER SWING
Organization structure
CorporationNon-profit
Incorporated
Jun 8, 2020 in KY
Enrollment address
910 Wallace Ave
Leitchfield, KY 42754-2414
Hospital Swing-Bed Unit
Hospital subgroups
General, Acute care, Swing-bed approved

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 3

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

National Provider Directory

National Provider Directory
Tax ID family
Owensboro Health Twin Lakes3 organizations share this tax ID, including this one
Part of
Owensboro Health Twin Lakes

Other organizations with this tax ID 2

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

Ownership & related parties

All disclosed owners & managing parties 11

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Russell S Ranallo Individual Corporate OfficerTreasurer Jun 20, 2022
Corporate DirectorTreasurer Jun 20, 2022
Owensboro Health, Inc Organization, Owensboro, KY Corporation, Non-profit Operational/Managerial Control Jan 1, 2021
Donna Vanmeter Individual Corporate DirectorBoard Member Nov 1, 2023
Laura Chapman Individual Corporate DirectorVice Chair Nov 1, 2023
Matt Hayes Individual Corporate DirectorSecretary Nov 27, 2023
Ashley Herrington Individual Corporate OfficerChief Operating Officer Jan 1, 2021
W-2 Managing EmployeeAdministrator/Chief Operating of Jan 1, 2021
Mark a Marsh Individual Corporate OfficerPresident Jun 7, 2021
W-2 Managing EmployeePresident Jun 7, 2021
Michael Joseph Scherm Individual Corporate DirectorChair Nov 26, 2024
Scott Majors Individual Corporate DirectorBoard Member Nov 1, 2023
Patricia Osborne Individual Corporate DirectorBoard Member Nov 1, 2023
Angee McCreery Individual Corporate DirectorBoard Member Nov 24, 2025

Owners & managing parties with NPI records 9

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 6

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1608595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608595200000",
    "number": "1265029425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 20007",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423040007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 WALLACE AVE",
            "city": "LEITCHFIELD",
            "state": "KY",
            "postal_code": "427542414",
            "telephone_number": "270-259-9400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OWENSBORO HEALTH TWIN LAKES REGIONAL MEDICAL CENTER, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OWENSBORO HEALTH TWIN LAKES REGIONAL MEDICAL CENTER, INC",
        "enumeration_date": "2020-12-22",
        "last_updated": "2020-12-22",
        "certification_date": "2020-12-22",
        "status": "A",
        "authorized_official_last_name": "RANALLO",
        "authorized_official_first_name": "RUSS",
        "authorized_official_title_or_position": "VICE PRESIDENT OF FINANCE",
        "authorized_official_telephone_number": "270-685-7180"
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Owensboro Health Twin Lakes Medical Center Swing",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Leitchfield, KY

Sources for this page

Verify at the official NPI Registry.