Provider Demographics
NPI:1376667147
Name:KNOX COUNTY HOSPITAL DISTRICT
Entity Type:Organization
Organization Name:KNOX COUNTY HOSPITAL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:A
Authorized Official - Last Name:KUEHLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:940-657-3535
Mailing Address - Street 1:701 SE 5TH ST
Mailing Address - Street 2:
Mailing Address - City:KNOX CITY
Mailing Address - State:TX
Mailing Address - Zip Code:79529-2107
Mailing Address - Country:US
Mailing Address - Phone:940-657-3535
Mailing Address - Fax:940-657-5521
Practice Address - Street 1:701 SE 5TH ST
Practice Address - Street 2:
Practice Address - City:KNOX CITY
Practice Address - State:TX
Practice Address - Zip Code:79529-2107
Practice Address - Country:US
Practice Address - Phone:940-657-3535
Practice Address - Fax:940-657-5521
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-19
Last Update Date:2020-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX000568275N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes275N00000XHospital UnitsMedicare Defined Swing Bed Unit
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX=========OtherEIN
TX=========OtherEIN
TX00J96XMedicare PIN