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NPI Code Detail

MEDICARE: OWENSBORO HEALTH INC

MEDICARE: OWENSBORO HEALTH INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1314000000XSkilled Nursing Facility100735KY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1000000054926OTHERKYANTHEM BCBS KY
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1184604225
Entity Type Code : Organization
Provider Name (Legal Business Name) : OWENSBORO HEALTH INC
Provider Business Mailing Address
First Line : 1201 PLEASANT VALLEY RD
Second Line :
City : OWENSBORO
State : KY
Zip : 42303-9811
Country : US
Telephone Number : 270-417-2000
Fax Number :
Provider Business Practice Location Address
First Line : 1201 PLEASANT VALLEY RD
Second Line :
City : OWENSBORO
State : KY
Zip : 42303-9811
Country : US
Telephone Number : 270-417-2000
Fax Number :
Authorized Official
Title or Position : VICE PRESIDENT OF FINANCIAL SERVICE
Name : MR. RUSS RANALLO
Credential :
Telephone Number : 270-685-7180
Provider Enumeration Date : 01/17/2006
Last Update Date : 06/22/2021

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OWENSBORO, KY
42303-9811
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Practice Fax:
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1201 PLEASANT VALLEY RD
OWENSBORO, KY
42303-9811
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Practice Fax:
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OWENSBORO, KY
42303-9811
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1033183215 — SANDRA L FOOSHEE PA
Practice Location Address:
1201 PLEASANT VALLEY RD
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42303-9811
Practice Phone: 270-417-5911
Practice Fax: 270-417-6497

Directions to “OWENSBORO HEALTH INC ” Practice Location

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