NPIMap

Organization Active NPI

Knox County Hospital District

  • Medicare Defined Swing Bed Hospital Unit
  • Knox City, TX
National Provider Identifier
1376667147
Registry record updated Nov 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X
License
000568 Issued in TX
Legal business name
KNOX COUNTY HOSPITAL DISTRICT
Practice address
701 SE 5TH St
Knox City, TX 79529-2107
Phone
(940) 657-3535
Fax
(940) 657-5521
NPI assigned
Mar 19, 2007
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
Stephen A Kuehler
Title
Administrator
Phone
(940) 657-3535

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X 000568 TX Primary

Addresses

Primary practice location

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

Mailing address

701 SE 5TH St
Knox City, TX 79529-2107
Phone (940) 657-3535

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180110000855 TX Part A Provider - Critical Access Hospital 5294643185 Practice locations: Knox City, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1376667147. Details of each certification follow.

Hospital certification: CCN 45Z394

Legal name
KNOX COUNTY HOSPITAL DISTRICT
Doing business as
KNOX COUNTY HOSPITAL
Organization structure
OtherNon-profit
Enrollment address
701 SE 5TH St
Knox City, TX 79529-2107
Other Hospital Practice Location

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

Other NPIs with the same Medicare PAC ID 6

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

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 12

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

NameRoleSinceShare
Joann Albus Individual Corporate DirectorBoard Secretary May 4, 2002
Louis Baty Individual Corporate DirectorBoard Member Jan 1, 2024
Daniel Wainscott Individual Corporate DirectorBoard Member Jun 20, 2016
Dannie Offutt Individual Corporate DirectorCfo Aug 31, 1998
Lissa B Myers Individual W-2 Managing EmployeeAdministrative Assisant Apr 1, 1993
Knox County Hospital District Organization, Knox City, TX 5% Or Greater Direct Ownership Interest Jan 1, 1990
Jennifer Carver Individual Corporate DirectorBoard Member Jan 1, 2024
Stephen Kuehler Individual Corporate DirectorCeo Jul 8, 2002
Brandon Gray Individual Corporate DirectorBusiness Office Manager Nov 11, 2007
W-2 Managing EmployeeBusiness Office Manager Nov 11, 2007
Judy Hobert Individual Corporate DirectorBoard Member Jul 27, 2004
Tracy Cartwright Individual Corporate DirectorBoard President Nov 15, 1993
Larry Welch Individual Corporate DirectorBoard Member Jan 1, 2024

Owners & managing parties with NPI records 6

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

All facility ownership & control disclosures 5

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

FacilityTypeRoleSince
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 5

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

Facilities with the same owner 5

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

Practitioners & affiliated clinicians

Practitioners 2

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.

Affiliated clinicians 1

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

NPI Registry JSON

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604620800000",
    "number": "1376667147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "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"
        },
        {
            "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": "2007-03-19",
        "last_updated": "2020-11-06",
        "certification_date": "2020-11-06",
        "status": "A",
        "authorized_official_last_name": "KUEHLER",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "940-657-3535"
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": "TX",
            "license": "000568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knox City, TX

Sources for this page

Verify at the official NPI Registry.