Provider Demographics
NPI:1417544636
Name:KNOX COUNTY GENERAL HEALTH DISTRICT
Entity Type:Organization
Organization Name:KNOX COUNTY GENERAL HEALTH DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:LANE
Authorized Official - Middle Name:KEYES
Authorized Official - Last Name:BELANGIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:740-392-2200
Mailing Address - Street 1:11660 UPPER GILCHRIST RD
Mailing Address - Street 2:
Mailing Address - City:MOUNT VERNON
Mailing Address - State:OH
Mailing Address - Zip Code:43050-9084
Mailing Address - Country:US
Mailing Address - Phone:740-399-8008
Mailing Address - Fax:740-392-9613
Practice Address - Street 1:706 SOUTH MARKET STREET
Practice Address - Street 2:
Practice Address - City:DANVILLE
Practice Address - State:OH
Practice Address - Zip Code:43014
Practice Address - Country:US
Practice Address - Phone:740-399-8008
Practice Address - Fax:740-392-9613
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-22
Last Update Date:2020-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QF0400XAmbulatory Health Care FacilitiesClinic/CenterFederally Qualified Health Center (FQHC)