Active NPI
Knox Hospital Corporation
- Skilled Nursing Facility
- Barbourville, KY
National Provider Identifier
1356691406
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 100721
- Legal business name
- KNOX HOSPITAL CORPORATION
- Practice address
- 80 Hospital Dr
Barbourville, KY 40906-7363 - Phone
- (606) 546-4175
- Fax
- (606) 545-5511
- NPI assigned
- Sep 17, 2012
- Organization subpart
- Yes
- Parent organization
- KNOX HOSPITAL CORPORATION
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Amanda J. Ellis
- Title
- Cfo
- Phone
- (606) 545-5543
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 100721 | KY | Primary |
Addresses
Primary practice location
80 Hospital Dr
Barbourville, KY 40906-7363
Mailing address
80 Hospital Dr
Barbourville, KY 40906-7363
Phone (606) 546-4175
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12504767 | Medicaid | KY |
Other names 1
- Knox County Hospital SNF
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.
-
- Institutional Pharmacy
- Barbourville, KY
- NPI 1710035423
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1347840000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1347840000000",
"number": "1356691406",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "80 HOSPITAL DR",
"city": "BARBOURVILLE",
"state": "KY",
"postal_code": "409067363",
"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 DR",
"city": "BARBOURVILLE",
"state": "KY",
"postal_code": "409067363",
"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": "2012-09-17",
"last_updated": "2012-09-17",
"status": "A",
"authorized_official_last_name": "ELLIS",
"authorized_official_first_name": "AMANDA",
"authorized_official_middle_name": "J.",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "606-545-5543",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "KY",
"license": "100721",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "12504767",
"state": "KY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Knox County Hospital SNF",
"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 Sep 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.