NPIMap

Owensboro Health Medical Group, Inc.

Organization Active NPI Clinical Medical Laboratory · Henderson, KY

NPI 1609374693 · NPPES record last updated Dec 28, 2022

Key facts

NPI
1609374693
Entity type
Organization (NPI type 2)
Primary specialty
Clinical Medical Laboratory 291U00000X
Legal business name
OWENSBORO HEALTH MEDICAL GROUP, INC.
Practice address
1200 Barrett Blvd
Henderson, KY 42420-4950
Phone
(270) 844-8600
Fax
(270) 844-8610
NPI assigned
Jan 25, 2018
Organization subpart
Yes
Parent organization (as reported)
OWENSBORO HEALTH, INC

Authorized official

Name
Mr. Russell S Ranallo
Title
Secretary
Phone
(270) 417-4813

Other NPIs with the same Medicare PAC ID 4

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

Corporate family (same tax ID) 24

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.

Practitioners 455

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

View all 455

Medicare participation

Medicare fee-for-service enrollment
Enrolled in KY

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20180413000630 KY Part B Supplier - Independent Clinical Laboratory 0648255034 Practice locations: Henderson, KY

National Provider Directory

Tax ID family
Mohammed Kaleemuddin MD (74 organizations share this tax ID)
Part of
Owensboro Medical Health

Specialties & licenses

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

Addresses

Primary practice location

1200 Barrett Blvd
Henderson, KY 42420-4950

Mailing address

PO Box 23229
Owensboro, KY 42304-3229
Phone (270) 688-1330

Other names

  • Owensboro Health Henderson Healthplex Doing business as

Other providers in Henderson, KY

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

Sources for this page

Verify at the official NPI Registry.