Provider Demographics
NPI:1558425686
Name:KNOX COUNTY HOSPITAL DISTRICT
Entity Type:Organization
Organization Name:KNOX COUNTY HOSPITAL DISTRICT
Other - Org Name:KNOX COUNTY HOSPITAL CLINIC
Other - Org Type:Doing Business As
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 1:712 SE 5TH ST
Mailing Address - Street 2:
Mailing Address - City:KNOX CITY
Mailing Address - State:TX
Mailing Address - Zip Code:79529-2105
Mailing Address - Country:US
Mailing Address - Phone:940-657-3906
Mailing Address - Fax:940-657-3909
Practice Address - Street 1:712 SE 5TH ST
Practice Address - Street 2:
Practice Address - City:KNOX CITY
Practice Address - State:TX
Practice Address - Zip Code:79529-2105
Practice Address - Country:US
Practice Address - Phone:940-657-3906
Practice Address - Fax:940-657-3909
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-21
Last Update Date:2023-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX095007301Medicaid
TX00J96XMedicare PIN