=====================================================
General NPI Number Information
=====================================================
NPI Number | 1396615720
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | OWENSBORO HEALTH INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 11/10/2025
-----------------------------------------------------
Last Update Date | 02/10/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 908 WALLACE AVE STE 105
-----------------------------------------------------
City | LEITCHFIELD
-----------------------------------------------------
State | KY
-----------------------------------------------------
Zip | 42754-1479
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 270-589-5255
-----------------------------------------------------
Fax | 270-589-5256
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1301 PLEASANT VALLEY RD STE 104
-----------------------------------------------------
City | OWENSBORO
-----------------------------------------------------
State | KY
-----------------------------------------------------
Zip | 42303-9774
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 270-417-6707
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | SENIOR PHARMACY DIRECTOR
-----------------------------------------------------
Name | DR. JASON COLLINS
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 270-417-6711
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 3336C0003X
-----------------------------------------------------
Taxonomy Name | Community/Retail Pharmacy
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------