NPIMap

Organization Active NPI

Knox Community Hospital

  • General Acute Care Hospital
  • Mount Vernon, OH
National Provider Identifier
1295761963
Registry record updated May 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
1030 Issued in OH
Legal business name
KNOX COMMUNITY HOSPITAL
Practice address
1330 Coshocton Ave
Mount Vernon, OH 43050-1440
Phone
(740) 393-9000
NPI assigned
Jun 24, 2006
Last updated
May 5, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2025

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

Authorized official

Name
Danielle O'Brien
Title
Cfo
Phone
(740) 393-9138

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 1030 OH Primary

Addresses

Primary practice location

1330 Coshocton Ave
Mount Vernon, OH 43050-1440

Mailing address

1330 Coshocton Ave
Mount Vernon, OH 43050-1440

Other identifiers 1

IdentifierTypeStateIssuer
03062129MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kchhim@kch.medalliesdirect.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040722001173 OH Part B Supplier - Clinic/Group Practice 1153301833 Receives reassigned benefits from 202 practitioners
9 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Mount Vernon, OH; Mt Vernon, OH; Ontario, OH; Centerburg, OH; Galion, OH; Bucyrus, OH; Danville, OH; Fredericktown, OH…
O20060911000022 OH Part A Provider - Hospital 1153301833 Practice locations: Mount Vernon, OH; Ontario, OH; Bucyrus, OH; Centerburg, OH; Fredericktown, OH; Galion, OH

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1295761963. Details of each certification follow.

Hospital certification: CCN 360040

Legal name
KNOX COMMUNITY HOSPITAL
Doing business as
OVATION HEALTHCARE
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Jul 30, 1993
Beds
111
Ownership / control type
Other
Organization structure
CorporationNon-profit
Incorporated
Feb 18, 1977 in OH
Enrollment address
1330 Coshocton Ave
Mount Vernon, OH 43050-1440
Main/Primary Hospital Location
Hospital subgroups
Acute care

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 8

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

Other NPIs on the same Medicare enrollment 9

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
Knox Community HospitalCCN 360040 · All quality measures
Overall star rating
3 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Other
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Locations

1451 Yauger Rd
Ste 2E
Mount Vernon, OH 43050
Phone (740) 393-5540

Interoperability endpoints

  • Direct secure messaging: kchhim@kch.medalliesdirect.net

Ownership & related parties

All disclosed owners & managing parties 20

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Marc Odenweller Individual Corporate DirectorChair Jan 1, 2024
Judy Gregg Individual Corporate DirectorTrustee Jan 1, 2024
Kathy Swihart Individual W-2 Managing EmployeeCompliance Officer Jul 1, 2024
Korey Kidwell Individual Corporate DirectorTrustee Jan 1, 2016
Carol Emery Individual W-2 Managing EmployeeChief of Nursing Feb 25, 2019
Ian Watson Individual Corporate DirectorTrustee Jan 1, 2021
Jan Thomas Individual Corporate DirectorTrustee Jan 1, 2018
Michael P Sullivan Individual Corporate DirectorTrustee Jan 1, 2023
W-2 Managing EmployeePhysician Jan 1, 2014
Kristen N Witham Individual Corporate DirectorTrustee Jan 1, 2024
W-2 Managing Employee Jan 1, 2024
Vickie a Sant Individual Corporate DirectorTrustee Jan 1, 2019
Teresa Bemiller Individual Corporate DirectorBoard Member Jan 1, 2025
Marci Cottingham Individual Corporate DirectorBoard Member Jan 1, 2025
Bruce White Individual Contracted Managing Employee Jan 1, 2008
Corporate OfficerCeo Jan 1, 2008
Jeffrey Boucher Individual Corporate DirectorTrustee Jan 1, 2016
Danielle Obrien Individual Corporate DirectorCfo Jul 1, 2024
W-2 Managing EmployeeCfo Jul 1, 2024
Julie Kornfield Individual Corporate DirectorBoard Member Jan 1, 2025
Cheri Butcher Individual Corporate DirectorVice Chair Jan 1, 2024
Sam Barone Individual Corporate DirectorTrustee Jan 1, 2024
Amy Murnen Individual Corporate DirectorTrustee Jan 1, 2016
W-2 Managing EmployeePhysician Jan 1, 2016
Quorum Health Resources LLC Organization, Brentwood, TN Management services company Operational/Managerial Control Jan 1, 2008

Owners & managing parties with NPI records 3

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 2

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 99

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 99

Affiliated clinicians 262

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 262

NPI Registry JSON

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

{
    "created_epoch": "1151107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746403200000",
    "number": "1295761963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1330 COSHOCTON AVE",
            "city": "MOUNT VERNON",
            "state": "OH",
            "postal_code": "430501440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 COSHOCTON AVE",
            "city": "MOUNT VERNON",
            "state": "OH",
            "postal_code": "430501440",
            "telephone_number": "740-393-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KNOX COMMUNITY HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-24",
        "last_updated": "2025-05-05",
        "certification_date": "2025-05-05",
        "status": "A",
        "authorized_official_last_name": "O'BRIEN",
        "authorized_official_first_name": "DANIELLE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "740-393-9138"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "OH",
            "license": "1030",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03062129",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kchhim@kch.medalliesdirect.net",
            "affiliation": "N",
            "address_1": "1330 Coshocton Ave",
            "city": "Mount Vernon",
            "state": "OH",
            "country_code": "US",
            "postal_code": "430501440",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mount Vernon, OH

Sources for this page

Verify at the official NPI Registry.