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Knoxville Community Hospital Inc

Organization Active NPI Family Medicine Physician · Pella, IA

NPI 1467967968 · NPPES record last updated Dec 6, 2017

Key facts

NPI
1467967968
Entity type
Organization (NPI type 2)
Primary specialty
Family Medicine Physician 207Q00000X
License
630031H (IA)
Legal business name
KNOXVILLE COMMUNITY HOSPITAL INC
Practice address
615 Washington St
Pella, IA 50219-1538
Phone
(641) 628-2222
Fax
(641) 628-2915
NPI assigned
Dec 6, 2017
Organization subpart
No

Authorized official

Name
Margaret Anne Hamilton
Title
Cfo
Phone
(641) 842-1401

Corporate family (same tax ID) 7

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

National Provider Directory

Tax ID family
Pleasantville Clinic (8 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207Q00000X 630031H IA Yes

Addresses

Primary practice location

615 Washington St
Pella, IA 50219-1538

Mailing address

1002 S Lincoln St
Knoxville, IA 50138-3121
Phone (641) 842-7056

Other identifiers

IdentifierTypeStateIssuer
0433995MedicaidIA
36313OtherIAWELLMARK BCBS IOWA

Other names

  • Red Rock Healthcare Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Dec 6, 2017.

{
    "created_epoch": "1512518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512518400000",
    "number": "1467967968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1002 S LINCOLN ST",
            "city": "KNOXVILLE",
            "state": "IA",
            "postal_code": "501383121",
            "telephone_number": "641-842-7056",
            "fax_number": "641-842-3791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 WASHINGTON ST",
            "city": "PELLA",
            "state": "IA",
            "postal_code": "502191538",
            "telephone_number": "641-628-2222",
            "fax_number": "641-628-2915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KNOXVILLE COMMUNITY HOSPITAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-06",
        "last_updated": "2017-12-06",
        "status": "A",
        "authorized_official_last_name": "HAMILTON",
        "authorized_official_first_name": "MARGARET",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "641-842-1401"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "630031H",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0433995",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK BCBS IOWA",
            "identifier": "36313",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Red Rock Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pella, IA

All providers in Pella, IA · Family Medicine Physician in Iowa

Sources for this page

Verify at the official NPI Registry.