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OWENSBORO HEALTH MOBILE CLINIC
NPI 1861248502
Family Medicine in Owensboro, KY

Active since April 24, 2024CLIA 18D2304296 · Waiver
811 E PARRISH AVE STE 102-B, OWENSBORO, KY 42303(270) 688-1009(270) 688-1010 Get Directions Write a Review

NPPES record last updated: September 9, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 9, 2024, May 16, 2024, May 1, 2024 and 1 more (4 updates tracked since 2024).

About Owensboro Health Mobile Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OWENSBORO HEALTH MOBILE CLINIC (NPI 1861248502) is a healthcare organization registered as a family medicine in Owensboro, Kentucky and active in the NPI registry since April 2024. The organization holds a CLIA Waiver certificate valid through May 9, 2028 and lists Russell S. Ranallo, Secretary-cfo, as its authorized official.

NPPES Registry Identity

NPI1861248502
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameOWENSBORO HEALTH MEDICAL GROUP, INC.
Location Address811 E PARRISH AVE STE 102-BOwensboro, KY 42303-3258
Mailing AddressPo Box 23229Owensboro, KY 42304-3229 · (270) 688-1330 · Fax (270) 688-1338
Phone(270) 688-1009
Fax(270) 688-1010
Organization SubpartYesParent: Owensboro Health, Inc
Authorized OfficialRussell S. RanalloSecretary-cfo · (270) 685-7180
Enumeration DateApril 24, 2024
Last NPPES UpdateSeptember 9, 20244 updates tracked since enumeration
NPPES CertifiedSeptember 9, 2024
✔ NPI 1861248502 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
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.
Also ListedPediatricsTaxonomy 208000000X
Also ListedPhysician AssistantTaxonomy 363A00000X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
811 E PARRISH AVE STE 102-B, Owensboro, KY 42303
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Other Names 1

Doing Business AsOwensboro Health Mobile Clinic

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 18D2304296

Owensboro Health Mobile Clinic · Owensboro, KY
Active · expires May 9, 2028
CLIA Number18D2304296
Laboratory TypeMobile Laboratory
Certificate Effective DateMay 10, 2026
Certificate Expiration DateMay 9, 2028
Laboratory DirectorDr. Darby Cole
Laboratory Phone(270) 688-1009
Laboratory LocationOwensboro Health Mobile Clinic811 East Parrish Ave, Ste 102-B, Owensboro, KY 42303
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Owensboro Health Medical Group, Inc.'s NPI number?

The NPI number for Owensboro Health Medical Group, Inc. is 1861248502. It was assigned to this organization in the NPPES registry on April 24, 2024. The provider is doing business as Owensboro Health Mobile Clinic.

Where is Owensboro Health Medical Group, Inc. located?

Owensboro Health Medical Group, Inc. is located at 811 E Parrish Ave Ste 102-B, Owensboro, KY 42303. The listed phone number is (270) 688-1009.

What is Owensboro Health Medical Group, Inc.'s specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Owensboro Health Medical Group, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 18D2304296) is associated with this NPI, valid through May 9, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Owensboro Health Medical Group, Inc. was last updated on September 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.