NPIMap

Organization Active NPI

Oh Muhlenberg, LLC

  • General Acute Care Hospital
  • Greenville, KY
National Provider Identifier
1407800436
Registry record updated Sep 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
100344 Issued in KY
Legal business name
OH MUHLENBERG, LLC
Practice address
440 Hopkinsville St
Greenville, KY 42345-1124
Phone
(270) 338-8000
Fax
(270) 338-8278
NPI assigned
May 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2016

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

Authorized official

Name
Mr. John Hackbarth
Title
Treasurer
Phone
(270) 417-2000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 100344 KY Primary

Addresses

Primary practice location

440 Hopkinsville St
Greenville, KY 42345-1124

Mailing address

440 Hopkinsville St
Greenville, KY 42345-1124
Phone (270) 338-8000

Other identifiers 1

IdentifierTypeStateIssuer
7100415930MedicaidKY

Other names 1

  • Owensboro Health Muhlenberg Community Hospital Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150929001593 KY Part A Provider - Hospital 2567770324 1 other NPI on this enrollment
Practice locations: Greenville, KY

Hospital certification: CCN 180004

Legal name
OH MUHLENBERG LLC
Doing business as
OWENSBORO HEALTH MUHLENBERG COMMUNITY HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Jan 30, 2014
Beds
90
Ownership / control type
Private (not for profit)
Most recent change of ownership
Jul 1, 2015 (1 total)
Organization structure
LLCNon-profit
Incorporated
Feb 20, 2015 in KY
Enrollment address
440 Hopkinsville St
Greenville, KY 42345-1124
Other Hospital Practice Location
Hospital subgroups
General

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

Other NPIs with the same Medicare PAC ID 4

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

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
Owensboro Health Muhlenberg Community HospitalCCN 180004
Overall star rating
4 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
Tax ID family
Oh Muhlenberg LLC12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

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

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

530 W Main St
Elkton, KY 42220
Phone (270) 265-3030

Ownership & related parties

All disclosed owners & managing parties 12

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

NameRoleSinceShare
Anthony McBride Individual Corporate DirectorBoard Member Nov 1, 2022
Russell S Ranallo Individual Corporate Officer Jun 20, 2022
Corporate DirectorTreasurer Jun 20, 2022
Owensboro Health, Inc Organization, Owensboro, KY Non-profit Operational/Managerial Control May 1, 2014
Other Jul 1, 2015 100%
Edward Heath Individual Corporate OfficerCeo Jul 1, 2015
W-2 Managing EmployeeCeo Jul 1, 2015
Teresa Gardner Individual Corporate DirectorBoard Member Nov 1, 2021
Marshall E Prunty Individual Corporate DirectorBoard Member Nov 1, 2021
Mark a Marsh Individual Corporate OfficerPresident Jun 7, 2021
Archie Pollock Individual Corporate DirectorBoard Member Nov 1, 2021
Candace MC Brake Individual Corporate DirectorBoard Member Nov 1, 2022
Kathleen Mitchell Individual Corporate OfficerCno Jun 1, 2017
W-2 Managing EmployeeCno Jun 1, 2017
David Roberts Individual Corporate DirectorBoard Member Nov 1, 2022
Francis J. Dufrayne Individual Corporate DirectorBoard Member Nov 1, 2021

Owners & managing parties with NPI records 12

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.

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 199

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

View all 199

NPI Registry JSON

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

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474588800000",
    "number": "1407800436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 HOPKINSVILLE ST",
            "city": "GREENVILLE",
            "state": "KY",
            "postal_code": "423451124",
            "telephone_number": "270-338-8000",
            "fax_number": "270-338-8278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 HOPKINSVILLE ST",
            "city": "GREENVILLE",
            "state": "KY",
            "postal_code": "423451124",
            "telephone_number": "270-338-8000",
            "fax_number": "270-338-8278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OH MUHLENBERG, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-22",
        "last_updated": "2016-09-23",
        "status": "A",
        "authorized_official_last_name": "HACKBARTH",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "270-417-2000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "KY",
            "license": "100344",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100415930",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Owensboro Health Muhlenberg Community Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Greenville, KY

Sources for this page

Verify at the official NPI Registry.