NPIMap

Organization Active NPI

Knoxville Community Hospital Inc

Doing business as Red Rock Healthcare

  • Family Medicine Physician
  • Pella, IA
National Provider Identifier
1467967968
Registry record updated Dec 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
630031H Issued in IA
Legal business name
KNOXVILLE COMMUNITY HOSPITAL INC
Doing business as
Red Rock Healthcare
Practice address
615 Washington St
Pella, IA 50219-1538
Phone
(641) 628-2222
Fax
(641) 628-2915
NPI assigned
Dec 6, 2017
Last updated
Dec 6, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2017

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

Authorized official

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X 630031H IA Primary

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 names 1

  • Red Rock Healthcare Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Knoxville Comm Hospital8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

Locations

615 Washington St
Pella, IA 50219
Phone (641) 628-2222

NPI Registry JSON

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

{
    "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": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Red Rock Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pella, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.