MEDICARE: KNOX COMMUNITY HOSPITAL

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1386003796
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KNOX COMMUNITY HOSPITAL

Provider Business Mailing Address
First Line	:	1330 COSHOCTON AVE
Second Line	:
City	:	MOUNT VERNON
State	:	OH
Zip	:	43050-1440
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7 WOODLAKE TRL STE A
Second Line	:
City	:	MOUNT VERNON
State	:	OH
Zip	:	43050-8103
Country	:	US
Telephone Number	:	740-397-4262
Fax Number	:	740-392-8257

Authorized Official
Title or Position	:	VP OF FINANCE
Name	:	DANIELLE O'BRIEN
Credential	:
Telephone Number	:	740-393-9138

Provider Enumeration Date	:	02/12/2016
Last Update Date	:	02/13/2025

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Directions to “KNOX COMMUNITY HOSPITAL ” Practice Location

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