| Owensboro Health Medical Group - Family Medicine | |
|
1213 N Main St Beaver Dam KY 42320-8955 | |
| (270) 274-4771 | |
| (270) 274-4884 |
| Full Name | Owensboro Health Medical Group - Family Medicine |
|---|---|
| Speciality | Clinic/Center |
| Location | 1213 N Main St, Beaver Dam, Kentucky |
| Authorized Official Name and Position | Russell S Ranallo (SECRETARY) |
| Authorized Official Contact | 2704174813 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Owensboro Health Medical Group - Family Medicine Po Box 23229 Owensboro KY 42304-3229 Ph: (270) 688-1330 | Owensboro Health Medical Group - Family Medicine 1213 N Main St Beaver Dam KY 42320-8955 Ph: (270) 274-4771 |
| NPI Number | 1194161984 |
|---|---|
| Provider Enumeration Date | 05/20/2013 |
| Last Update Date | 12/07/2022 |
| Medicare PECOS PAC ID | 0648255034 |
|---|---|
| Medicare Enrollment ID | O20120625000304 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194161984 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | 900257 (Kentucky) | Primary |
Norsworthy Medical Associates Psc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1219 N Main St, Beaver Dam, KY 42320 Phone: 270-274-1800 Fax: 270-274-5600 | |
Fast Pace Kentucky, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1430 N Main St, Beaver Dam, KY 42320 Phone: 270-775-4483 | |
Coffman Family Care And Wellness Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1221 N Main St, Beaver Dam, KY 42320 Phone: 270-256-5911 | |
Ohio County Family Care Beaver Dam Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1313 N Main St, Beaver Dam, KY 42320 Phone: 270-274-9928 | |
Donald Kevin Gregory Md, Psc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1213 N Main St., Beaver Dam, KY 42320 Phone: 270-274-4771 Fax: 270-274-4884 |