Knox Clinic Corp

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

KNOX CLINIC CORP

Practice address

834 N Seminary St
Suite 302 & 304
Galesburg, IL 61401-2852

Phone

(309) 342-2171

Fax

(309) 342-7205

NPI assigned

Apr 22, 2013

Organization subpart

Yes

Parent organization

KNOX CLINIC CORPAs reported in NPPES

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

Authorized official

Name

Sophia L Arwood

Title

Director

Phone

(615) 628-6038

Specialties & licenses 1

Addresses

Other names 1

• Pediatric and Adolescent Care Doing business as

Tax ID family

Galesburg Il Clinic Cor2 organizations share this tax ID, including this one

Part of

Galesburg Il Clinic Cor

Other organizations with this tax ID 1

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

• Knox Clinic Corp

  • Rural Health Clinic/Center
  • Galesburg, IL
  • NPI 1538503503
  NPD tax ID

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

{
    "created_epoch": "1366588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366588800000",
    "number": "1619311685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 689022",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370689022",
            "telephone_number": "615-628-6038",
            "fax_number": "605-465-3007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "834 N SEMINARY ST",
            "address_2": "SUITE 302 & 304",
            "city": "GALESBURG",
            "state": "IL",
            "postal_code": "614012852",
            "telephone_number": "309-342-2171",
            "fax_number": "309-342-7205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KNOX CLINIC CORP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KNOX CLINIC CORP",
        "enumeration_date": "2013-04-22",
        "last_updated": "2013-04-22",
        "status": "A",
        "authorized_official_last_name": "ARWOOD",
        "authorized_official_first_name": "SOPHIA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "615-628-6038"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pediatric and Adolescent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nicole Kisler, PTA
• Karen Elaine Kistler, MSW, LCSW
• Angela B Klapp, APN
• Knox Clinic Corp
• Knox Clinic Corp
• Knox Clinic Corp
• Knox Community Health Center NFP
• Knox County Hearing
• Knox Family Dental LLC
• Knox Family Orthodontics LLC

• Rural Health Clinic/Center in Galesburg, IL
• Providers in Galesburg, IL by specialty
• Rural Health Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2013; 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.