Healthcare Provider Details

I. General information

NPI: 1376667147
Provider Name (Legal Business Name): KNOX COUNTY HOSPITAL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/19/2007
Last Update Date: 11/06/2020
Certification Date: 11/06/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

701 SE 5TH ST
KNOX CITY TX
79529-2107
US

IV. Provider business mailing address

701 SE 5TH ST
KNOX CITY TX
79529-2107
US

V. Phone/Fax

Practice location:
  • Phone: 940-657-3535
  • Fax: 940-657-5521
Mailing address:
  • Phone: 940-657-3535
  • Fax: 940-657-5521

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code275N00000X
TaxonomyMedicare Defined Swing Bed Hospital Unit
License Number000568
License Number StateTX

VIII. Authorized Official

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