Organization Active NPI

Oh Muhlenberg, LLC

  • Clinical Medical Laboratory
  • Greenville, KY
National Provider Identifier
1497871263
Registry record updated Aug 31, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
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
Mar 22, 2007
Last updated
Aug 31, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2015

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) 417-4813

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 100344 KY Primary

Addresses

Primary practice location

440 Hopkinsville St
Greenville, KY 42345-1124

Mailing address

440 Hopkinsville St
P.O. Box 387
Greenville, KY 42345-1124
Phone (270) 338-8000

Other identifiers 1

IdentifierTypeStateIssuer
000000277044OtherKYBCBS REFERENCE LAB #

Other names 1

  • OWENSBORO HEALTH MUHLENBERG COMMUNITY HOSPITAL CLINICAL MEDICAL LAB Other name

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
18D0326456Owensboro Health Muhlenberg Community440 Hopkinsville Street, Greenville, KY 42345AccreditationApr 27, 2027
18D0696001Owensboro Health Muhlenberg Community Hospital440 Hopkinsville St PO Box 387, Greenville, KY 42345Certificate of waiverOct 9, 2026
18D2169868Owensboro Health Medical Group Pain Management440 Hopkinsville Street, Greenville, KY 42345Certificate of waiverJul 29, 2027

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.

NPI Registry JSON

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440979200000",
    "number": "1497871263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 HOPKINSVILLE ST",
            "address_2": "P.O. BOX 387",
            "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": "2007-03-22",
        "last_updated": "2015-08-31",
        "status": "A",
        "authorized_official_last_name": "HACKBARTH",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "270-417-4813",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "KY",
            "license": "100344",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS REFERENCE LAB #",
            "identifier": "000000277044",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OWENSBORO HEALTH MUHLENBERG COMMUNITY HOSPITAL CLINICAL MEDICAL LAB",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Greenville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.