NPIMap

Organization Active NPI

Knox County Hospital District

Doing business as Knox County EMS

  • Land Ambulance
  • Knox City, TX
National Provider Identifier
1225095185
Registry record updated Nov 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
138006 Issued in TX
Legal business name
KNOX COUNTY HOSPITAL DISTRICT
Doing business as
Knox County EMS
Practice address
701 SE 5TH St
Knox City, TX 79529-2107
Phone
(940) 657-3535
Fax
(940) 657-5521
NPI assigned
Apr 26, 2006
Last updated
Nov 6, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2020

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

Authorized official

Name
Mr. Stephen Kuehler
Title
Administrator
Phone
(940) 657-3535

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 138006 TX Primary

Addresses

Primary practice location

701 SE 5TH St
Knox City, TX 79529-2107

Mailing address

PO Box 608
Knox City, TX 79529-0608
Phone (940) 657-3535

Other identifiers 2

IdentifierTypeStateIssuer
138006OtherTXLICENSE
000512601MedicaidTX

Other names 1

  • Knox County EMS Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081031000187 TX Part B Supplier - Ambulance Service Supplier 5294643185 Practice locations: Knox City, TX

Other NPIs with the same Medicare PAC ID 6

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D1026766Knox County EMS701 South 5TH Street, Knox City, TX 79529Certificate of waiverJun 14, 2028

National Provider Directory

National Provider Directory
Tax ID family
Knox County Hospital5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Ownership & related parties

All facility ownership & control disclosures 6

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Knox County HospitalKnox City, TX, CCN 45Z394 Hospital 5% Or Greater Direct Ownership Interest Jan 1, 1990
Knox County HospitalKnox City, TX, CCN 451394 Hospital 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Jan 1, 1990
Jan 1, 1990
Munday Nursing CenterMunday, TX, CCN 675061 Skilled nursing facility 5% Or Greater Direct Ownership Interest
Operational/Managerial Control
Adp of the SNF		 Jan 4, 2018
Jan 4, 2018
Dec 27, 2024
Knox County Hospital HomecareKnox City, TX, CCN 458324 Home health agency 5% Or Greater Direct Ownership Interest (100%) Jan 1, 1990
Knox County Hospital ClinicKnox City, TX, CCN 458833 Rural health clinic Operational/Managerial Control Mar 1, 2018
Munday ClinicMunday, TX, CCN 458835 Rural health clinic Operational/Managerial Control Sep 15, 2010

Owned or controlled facilities with NPI records 6

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

NPI Registry JSON

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

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604620800000",
    "number": "1225095185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 608",
            "city": "KNOX CITY",
            "state": "TX",
            "postal_code": "795290608",
            "telephone_number": "940-657-3535",
            "fax_number": "940-657-5521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 SE 5TH ST",
            "city": "KNOX CITY",
            "state": "TX",
            "postal_code": "795292107",
            "telephone_number": "940-657-3535",
            "fax_number": "940-657-5521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KNOX COUNTY HOSPITAL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-26",
        "last_updated": "2020-11-06",
        "certification_date": "2020-11-06",
        "status": "A",
        "authorized_official_last_name": "KUEHLER",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "940-657-3535",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "TX",
            "license": "138006",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "138006",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000512601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Knox County EMS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Knox City, TX

Sources for this page

Verify at the official NPI Registry.