NPIMap

Organization Active NPI

Knoxville Community Hospital, Inc.

  • Family Medicine Physician
  • Pleasantville, IA
National Provider Identifier
1023025137
Registry record updated Nov 14, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
630031H Issued in IA
Legal business name
KNOXVILLE COMMUNITY HOSPITAL, INC.
Practice address
104 N Washington St
Pleasantville, IA 50225
Phone
(515) 848-3113
Fax
(515) 848-5257
NPI assigned
Aug 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ann Margaret Helwig
Title
Cfo
Phone
(641) 842-2151

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X 630031H IA Primary
Medical Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363AM0700X 630031H IA

Addresses

Primary practice location

104 N Washington St
Pleasantville, IA 50225

Mailing address

1002 S Lincoln St
Knoxville, IA 50138-3121
Phone (641) 842-2151

Other identifiers 2

IdentifierTypeStateIssuer
39112OtherIAWELLMARK BC&BSIA
0433995MedicaidIA

Other names 1

  • Knoxville Hospital & Clinics Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Pleasantville Clinic8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1008 W Bell Ave
Ste 104
Knoxville, IA 50138

1008 W Bell Ave
Ste 105
Knoxville, IA 50138
Phone (641) 828-7211

615 Washington St
Pella, IA 50219
Phone (641) 628-2222

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194998400000",
    "number": "1023025137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1002 S LINCOLN ST",
            "city": "KNOXVILLE",
            "state": "IA",
            "postal_code": "501383121",
            "telephone_number": "641-842-2151",
            "fax_number": "641-842-1470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 N WASHINGTON ST",
            "city": "PLEASANTVILLE",
            "state": "IA",
            "postal_code": "50225",
            "telephone_number": "515-848-3113",
            "fax_number": "515-848-5257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KNOXVILLE COMMUNITY HOSPITAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-02",
        "last_updated": "2007-11-14",
        "status": "A",
        "authorized_official_last_name": "HELWIG",
        "authorized_official_first_name": "ANN",
        "authorized_official_middle_name": "MARGARET",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "641-842-2151"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "630031H",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Medical",
            "state": "IA",
            "license": "630031H",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK BC&BSIA",
            "identifier": "39112",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0433995",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Knoxville Hospital & Clinics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pleasantville, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.