NPIMap

Oh Muhlenberg, LLC

Organization Active NPI Clinical Medical Laboratory · Greenville, KY

NPI 1497871263 · NPPES record last updated Aug 31, 2015

Key facts

NPI
1497871263
Entity type
Organization (NPI type 2)
Primary specialty
Clinical Medical Laboratory 291U00000X
License
100344 (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
Organization subpart
No

Authorized official

Name
Mr. John Hackbarth
Title
Treasurer
Phone
(270) 417-4813

Corporate family (same tax ID) 11

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

Laboratory certificates & supplier records

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

CLIA laboratory certificates

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

National Provider Directory

Tax ID family
Oh Muhlenberg LLC (12 organizations share this tax ID)

Specialties & licenses

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

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

IdentifierTypeStateIssuer
000000277044OtherKYBCBS REFERENCE LAB #

Other names

  • OWENSBORO HEALTH MUHLENBERG COMMUNITY HOSPITAL CLINICAL MEDICAL LAB Other name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 31, 2015.

{
    "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

All providers in Greenville, KY · Clinical Medical Laboratory in Kentucky

Sources for this page

Verify at the official NPI Registry.