OWENSBORO HEALTH MOBILE CLINIC – NPI #1861248502
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

OWENSBORO HEALTH MOBILE CLINIC is a provider located in OWENSBORO, KY. NPPES has assigned the NPI number 1861248502 to OWENSBORO HEALTH MOBILE CLINIC on April 24, 2024. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “OWENSBORO HEALTH MOBILE CLINIC” is a dba name, the actual legal business name for this organization is OWENSBORO HEALTH MEDICAL GROUP, INC.. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was last updated on Sep 09, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for OWENSBORO HEALTH MOBILE CLINIC below.

NPI Profile for
OWENSBORO HEALTH MEDICAL GROUP, INC.

NPI Number
1861248502
Enumeration Date

(more than 2 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
OWENSBORO HEALTH MEDICAL GROUP, INC.
Doing Business As (dba): OWENSBORO HEALTH MOBILE CLINIC
Primary location
811 E PARRISH AVE STE 102-B
OWENSBORO, KY 42303-3258
Phone: (270) 688-1009 Fax: (270) 688-1010
Mailing address
PO BOX 23229
OWENSBORO, KY 42304-3229
Phone: (270) 688-1330 Fax: (270) 688-1338
Organization Subpart
Yes - OWENSBORO HEALTH MOBILE CLINIC is subpart of another organization.
Authorized Official
RUSSELL RANALLO
SECRETARY-CFO
Phone: (270) 685-7180
Updated
Certification Date
Sep 09, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)
363LF0000X
- Nurse Practitioner / Family
363A00000X
- Physician Assistant
208000000X
- Pediatrics

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.