Healthcare Provider Details

I. General information

NPI: 1710035423
Provider Name (Legal Business Name): KNOX HOSPITAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/08/2007
Last Update Date: 07/29/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

80 HOSPITAL DR
BARBOURVILLE KY
40906-7363
US

IV. Provider business mailing address

80 HOSPITAL DR
BARBOURVILLE KY
40906-7363
US

V. Phone/Fax

Practice location:
  • Phone: 606-546-4175
  • Fax: 606-545-5511
Mailing address:
  • Phone: 606-546-4175
  • Fax: 606-545-5511

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3336I0012X
TaxonomyInstitutional Pharmacy
License NumberP07514
License Number StateKY

VIII. Authorized Official

Name: CRAIG MORGAN
Title or Position: COO
Credential: B.S.
Phone: 606-546-4175