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Owensboro Health McAuley Center

Organization Active NPI Clinic/Center · Owensboro, KY

NPI 1871757930 · NPPES record last updated Jan 30, 2014

Key facts

NPI
1871757930
Entity type
Organization (NPI type 2)
Primary specialty
Clinic/Center 261Q00000X
License
740041 (KY)
Legal business name
OWENSBORO HEALTH MCAULEY CENTER
Practice address
819 E 9TH St
Owensboro, KY 42303-3221
Phone
(270) 926-6575
Fax
(270) 691-8351
NPI assigned
Jul 17, 2008
Organization subpart
Yes
Parent organization (as reported)
OWENSBORO HEALTH INC

Authorized official

Name
Mr. John T Hackbarth Jr.
Title
Secretary
Phone
(270) 417-4813

Corporate family (same tax ID) 19

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

Practitioners 1

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

National Provider Directory

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

Locations

819 E 9th St
Owensboro, KY 42303
Phone (270) 686-6044

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 740041 KY Yes
Family Nurse Practitioner
Group: 193200000X MULTI-SPECIALTY GROUP		 363LF0000X

Addresses

Primary practice location

819 E 9TH St
Owensboro, KY 42303-3221

Mailing address

819 E 9TH St
Owensboro, KY 42303-3221
Phone (270) 926-6575

Other identifiers

IdentifierTypeStateIssuer
7100265390MedicaidKY

Other providers in Owensboro, KY

All providers in Owensboro, KY · Clinic/Center in Kentucky

Sources for this page

Verify at the official NPI Registry.