Healthcare Provider Details

I. General information

NPI: 1558425686
Provider Name (Legal Business Name): KNOX COUNTY HOSPITAL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/21/2006
Last Update Date: 05/02/2023
Certification Date: 05/02/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

712 SE 5TH ST
KNOX CITY TX
79529-2105
US

IV. Provider business mailing address

712 SE 5TH ST
KNOX CITY TX
79529-2105
US

V. Phone/Fax

Practice location:
  • Phone: 940-657-3906
  • Fax: 940-657-3909
Mailing address:
  • Phone: 940-657-3906
  • Fax: 940-657-3909

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: STEPHEN A KUEHLER
Title or Position: ADMINISTRATOR
Credential:
Phone: 940-657-3535