| Oh Muhlenberg, Llc | |
|
2025 W Everly Brothers Blvd Ste 2a Powderly KY 42367-5401 | |
| (270) 377-2626 | |
| (270) 377-2777 |
| Full Name | Oh Muhlenberg, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2025 W Everly Brothers Blvd Ste 2a, Powderly, Kentucky |
| Authorized Official Name and Position | Russell S Ranallo (TREASURER) |
| Authorized Official Contact | 2704174813 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Oh Muhlenberg, Llc Po Box 23229 Owensboro KY 42304-3229 Ph: (270) 688-1330 | Oh Muhlenberg, Llc 2025 W Everly Brothers Blvd Ste 2a Powderly KY 42367-5401 Ph: (270) 377-2626 |
| NPI Number | 1700194388 |
|---|---|
| Provider Enumeration Date | 09/17/2010 |
| Last Update Date | 12/28/2022 |
| Medicare PECOS PAC ID | 2567770324 |
|---|---|
| Medicare Enrollment ID | O20150929003499 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700194388 | NPI | - | NPPES |
| 7100240880 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | 900258 (Kentucky) | Primary |
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