Oh Muhlenberg, LLC
Organization Active NPI Pulmonary Disease Physician · Greenville, KY
NPI 1992001044 · NPPES record last updated Dec 28, 2022
Key facts
- NPI
- 1992001044
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pulmonary Disease Physician 207RP1001X
- 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
- Feb 8, 2011
- Organization subpart
- No
Authorized official
- Name
- Mr. Russell S Ranallo
- Title
- Treasurer
- Phone
- (270) 417-4813
Owners & managing parties with NPI records 12
Other NPIs on the same Medicare enrollment 2
Corporate family (same tax ID) 11
Related certifications (CCN) 1
Practitioners 15
-
Keely Dawn Cullen, APRN
-
Ashley L Gabbard, D.O.
-
Michael R Gabbard, D.O.
-
Abinash K. Joshi, M.D.
-
Bracken Clay Lewis, M.D.
-
Manoj H Majmudar, MD
-
Michael Muzoora, M.D.
-
Sarah Elizabeth Neill, M.D.
-
Mandy N Newman, APRN
-
Monica Denise Noe, APRN
-
Raven R. Price, M.D.
Affiliated clinicians 199
-
Ryan J Abel, MD
-
Ravi K. Alapati, MD
-
Pir Khalid Ali, M.D.
-
Nicole M Allen, APRN
-
Kristen Leshae Arbuckle, MSN-CRNA
-
Kathryn Taylor Ayres, APRN, FNP-C
-
Mumen Ayyat, MD
-
Eric L Bandy, MD
-
Laura Marie Bearden, APRN, FNP-C
-
Callie Magdeline Bell, APRN
-
Paul Bradley Brasher Jr., M.D.
-
Ethan Brown, APRN
-
Bernard J Buchanan, M.D., PHD
-
Richard S. Burgan, PA-C
-
Tiffany Caudill, APRN
-
Antonino Cavataio, M.D.
-
Morgan Renae Cecil, APRN
-
Geeta S Chavda, MD
Medicare Care Compare: Hospital
- Listed as
- Owensboro Health Muhlenberg Community Hospital
- Overall star rating
- ★★★★☆ 4 of 5
- Type
- Acute Care Hospitals
- Ownership
- Voluntary non-profit - Private
- Medicare certification status
- Active
- Emergency services
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in 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
- LLC · Non-profit
- Incorporated
- Feb 20, 2015 in KY
- Enrollment address
- 440 Hopkinsville St
Greenville, KY 42345-1124 - Hospital subgroups
- General
All disclosed owners & managing parties 12
| Name | Role | Since | Share |
|---|---|---|---|
| Anthony McBride |
Corporate Director |
Nov 1, 2022 | |
| Russell S Ranallo |
Corporate Officer | Jun 20, 2022 | |
| Corporate Director |
Jun 20, 2022 | ||
| Owensboro Health, Inc |
Operational/Managerial Control | May 1, 2014 | |
| Other | Jul 1, 2015 | 100% | |
| Edward Heath |
Corporate Officer |
Jul 1, 2015 | |
| W-2 Managing Employee |
Jul 1, 2015 | ||
| Teresa Gardner |
Corporate Director |
Nov 1, 2021 | |
| Marshall E Prunty |
Corporate Director |
Nov 1, 2021 | |
| Mark a Marsh |
Corporate Officer |
Jun 7, 2021 | |
| Archie Pollock |
Corporate Director |
Nov 1, 2021 | |
| Candace MC Brake |
Corporate Director |
Nov 1, 2022 | |
| Kathleen Mitchell |
Corporate Officer |
Jun 1, 2017 | |
| W-2 Managing Employee |
Jun 1, 2017 | ||
| David Roberts |
Corporate Director |
Nov 1, 2022 | |
| Francis J. Dufrayne |
Corporate Director |
Nov 1, 2021 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20150929001593 | KY | Part a Provider - Hospital | 2567770324 |
1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Greenville, KY |
| O20170224001485 | KY | Part B Supplier - Clinic/Group Practice | 2567770324 |
Receives reassigned benefits from 14 practitioners 1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Greenville, KY; Powderly, KY |
National Provider Directory
- Tax ID family
- Oh Muhlenberg LLC
Locations
504 Doss Dr
Powderly, KY 42367
Phone (270) 338-1233
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician |
207RP1001X | Yes | ||
| Nurse Practitioner |
363L00000X |
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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100466380 | Medicaid | KY |
Other names
- OWENSBORO HEALTH MUHLENBERG COMMUNITY HOSPITAL COAL MINERS' RESPIRATOR
Other providers in Greenville, KY
- Oh Muhlenberg, LLC
- Oh Muhlenberg, LLC
- Oh Muhlenberg, LLC
- Oh Muhlenberg, LLC
- Oh Muhlenberg, LLC
- Stephen Sinclair Outten
- Leslie Carol Owens
- Owensboro Health Medical Group Inc
- Owensboro Health Medical Group Inc
- Owensboro Health Medical Group Inc
All providers in Greenville, KY · Pulmonary Disease Physician in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 28, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.