Provider Demographics
NPI:1598702565
Name:MCKNIGHTS INC. SERVICE
Entity Type:Organization
Organization Name:MCKNIGHTS INC. SERVICE
Other - Org Name:MCKNIGHT MEDICAL HOMECARE SERVICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:S
Authorized Official - Last Name:MCKNIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:724-489-4011
Mailing Address - Street 1:11 MCKEAN AVE
Mailing Address - Street 2:
Mailing Address - City:CHARLEROI
Mailing Address - State:PA
Mailing Address - Zip Code:15022-1436
Mailing Address - Country:US
Mailing Address - Phone:724-489-4011
Mailing Address - Fax:724-489-0478
Practice Address - Street 1:11 MCKEAN AVE
Practice Address - Street 2:
Practice Address - City:CHARLEROI
Practice Address - State:PA
Practice Address - Zip Code:15022-1436
Practice Address - Country:US
Practice Address - Phone:724-489-4011
Practice Address - Fax:724-489-0478
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-31
Last Update Date:2011-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0009922710001Medicaid
PA0186200001Medicare ID - Type Unspecified