NPIMap

Organization Active NPI

Owensboro Health Inc

Doing business as Owensboro Health Regional Hospital

  • General Acute Care Hospital
  • Owensboro, KY
National Provider Identifier
1285613612
Registry record updated Jun 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
100092 Issued in KY
Legal business name
OWENSBORO HEALTH INC
Doing business as
Owensboro Health Regional Hospital
Practice address
1201 Pleasant Valley Rd
Owensboro, KY 42303-9811
Phone
(270) 417-2000
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
General Acute Care Hospital 282N00000X 100092 KY Primary

Addresses

Primary practice location

1201 Pleasant Valley Rd
Owensboro, KY 42303-9811

Mailing address

PO Box 20007
Owensboro, KY 42304-0007
Phone (270) 417-2000

Other identifiers 6

IdentifierTypeStateIssuer
163998900OtherKYDEPT OF LABOR
080138000OtherKYBLACK LUNG PROVIDER
1022441MedicaidKY
000000054926OtherKYANTHEM BCBS KY
100275690AMedicaidIN
200134380MedicaidIN

Other names 1

  • Owensboro Health Regional Hospital 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
O20071208000053 KY Part A Provider - Hospital 0547154650 Practice locations: Henderson, KY; Owensboro, KY; Beaver Dam, KY

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1285613612. Details of each certification follow.

Hospital certification: CCN 180038

Legal name
OWENSBORO HEALTH, INC
Doing business as
OWENSBORO HEALTH REGIONAL HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Nov 9, 2012
Beds
469 (455 certified)
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
Jul 14, 1995 in KY
Enrollment address
1201 Pleasant Valley Rd
Owensboro, KY 42303-9619
Main/Primary Hospital Location
Hospital subgroups
General, Acute care, Short-term, Rehabilitation unit

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

Other NPIs with the same Medicare PAC ID 8

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Owensboro Health Regional HospitalCCN 180038 · All quality measures
Overall star rating
2 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 22

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

NameRoleSinceShare
Nick Hetman Individual Corporate DirectorBoard Member Nov 1, 2019
Anthony McBride Individual Corporate OfficerBoard Member Nov 1, 2018
Russell S Ranallo Individual Corporate OfficerCfo Jun 13, 2022
W-2 Managing EmployeeCfo Jun 13, 2022
Phil Riney Individual Corporate OfficerBoard Member Nov 1, 2018
Gavin Roberts Individual Corporate DirectorBoard Member/Chair Nov 1, 2017
Chris Love Individual Corporate DirectorBoard Member Nov 1, 2021
Teresa Gardner Individual Corporate DirectorBoard Member Nov 1, 2023
Laura Chapman Individual Corporate DirectorBoard Member Nov 1, 2021
Mia Suter Individual Corporate OfficerChief Administrative Officer Aug 14, 2000
W-2 Managing EmployeeChief Administrative Officer Aug 14, 2000
Suzanne Harris Individual Corporate DirectorBoard Member Mar 7, 2023
Mark a Marsh Individual Corporate OfficerPresident/Ceo Jun 7, 2021
W-2 Managing EmployeePresident/Ceo Jun 7, 2021
Nathan Berry Individual Corporate DirectorBoard Member Feb 7, 2023
Andrea B. Moore Individual Corporate DirectorBoard Member Sep 27, 2021
Michael Yeiser Individual Corporate DirectorBoard Member Apr 1, 2013
Tom Lilly Individual Corporate DirectorBoard Member Feb 23, 2023
Charles J Mills Individual Corporate DirectorBoard Member Nov 1, 2021
Patricia Osborne Individual Corporate DirectorBoard Member Nov 1, 2023
Candace MC Brake Individual Corporate DirectorBoard Member Nov 1, 2019
Beth Steele Individual Corporate OfficerChief Operating Officer Jan 10, 2022
Ernest Begley Individual Corporate OfficerClo Jan 7, 2008
W-2 Managing EmployeeClo Jan 7, 2008
David Roberts Individual Corporate DirectorBoard Member Nov 1, 2019
Francis J. Dufrayne Individual Corporate OfficerChief Medical Officer Aug 1, 2018
W-2 Managing EmployeeChief Medical Officer Aug 1, 2018

Owners & managing parties with NPI records 4

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

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.

Practitioners & affiliated clinicians

Practitioners 85

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 85

Affiliated clinicians 805

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 805

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": "1285613612",
    "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",
            "telephone_number": "270-417-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 PLEASANT VALLEY RD",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423039811",
            "telephone_number": "270-417-2000"
        }
    ],
    "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": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "KY",
            "license": "100092",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF LABOR",
            "identifier": "163998900",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLACK LUNG PROVIDER",
            "identifier": "080138000",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1022441",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS KY",
            "identifier": "000000054926",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100275690A",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200134380",
            "state": "IN"
        }
    ],
    "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 Regional Hospital",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Owensboro Health Regional Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Owensboro, KY

Sources for this page

Verify at the official NPI Registry.