Provider Demographics
NPI:1811395106
Name:KNOX MEDEX, INC.
Entity Type:Organization
Organization Name:KNOX MEDEX, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LARRY
Authorized Official - Middle Name:GENE
Authorized Official - Last Name:WOODS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:865-643-8666
Mailing Address - Street 1:400 LOGANBERRY LN
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37934-4693
Mailing Address - Country:US
Mailing Address - Phone:865-643-8666
Mailing Address - Fax:800-381-7074
Practice Address - Street 1:400 LOGANBERRY LN
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37934-4693
Practice Address - Country:US
Practice Address - Phone:865-643-8666
Practice Address - Fax:800-381-7074
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-12-18
Last Update Date:2014-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN0283123343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)