Organization Active NPI

Knox Hospital Corporation

Doing business as Knox County Hospital

  • Emergency Medicine Physician
  • Barbourville, KY
National Provider Identifier
1174743819
Registry record updated Feb 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
600080 Issued in KY
Legal business name
KNOX HOSPITAL CORPORATION
Doing business as
Knox County Hospital
Practice address
80 Hospital Drive
Barbourville, KY 40906
Phone
(606) 546-4175
Fax
(606) 545-5511
NPI assigned
Apr 26, 2007
Organization subpart
Yes
Parent organization
KNOX HOSPITAL CORPORATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 29, 2008

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

Authorized official

Name
Kathy R Brock
Title
Credentialing Coordinator
Phone
(606) 545-4866

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207P00000X 600080 KY Primary
Diagnostic Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0202X 600080 KY

Addresses

Primary practice location

80 Hospital Drive
Barbourville, KY 40906

Mailing address

PO Box 10
80 Hospital Drive
Barbourville, KY 40906
Phone (606) 546-4175

Other identifiers 1

IdentifierTypeStateIssuer
65944399MedicaidKY

Other names 1

  • Knox County Hospital Doing business as

National Provider Directory

National Provider Directory
Part of
Knox Hospital Corporation

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 2

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": "1177545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204243200000",
    "number": "1174743819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10",
            "address_2": "80 HOSPITAL DRIVE",
            "city": "BARBOURVILLE",
            "state": "KY",
            "postal_code": "40906",
            "telephone_number": "606-546-4175",
            "fax_number": "606-545-5511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 HOSPITAL DRIVE",
            "city": "BARBOURVILLE",
            "state": "KY",
            "postal_code": "40906",
            "telephone_number": "606-546-4175",
            "fax_number": "606-545-5511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KNOX HOSPITAL CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KNOX HOSPITAL CORPORATION",
        "enumeration_date": "2007-04-26",
        "last_updated": "2008-02-29",
        "status": "A",
        "authorized_official_last_name": "BROCK",
        "authorized_official_first_name": "KATHY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "606-545-4866"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": "KY",
            "license": "600080",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "KY",
            "license": "600080",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65944399",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Knox County Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Barbourville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2008; 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.