Active NPI
Knox Community Hospital
- Clinic/Center
- Mount Vernon, OH
National Provider Identifier
1801045406
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- KNOX COMMUNITY HOSPITAL
- Practice address
- 1330 Coshocton Ave
Mount Vernon, OH 43050-1440 - Phone
- (740) 393-5537
- Fax
- (740) 393-5577
- NPI assigned
- Sep 18, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Michael Ambrosiani
- Title
- Cfo
- Phone
- (740) 393-9000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Primary |
Addresses
Primary practice location
1330 Coshocton Ave
Mount Vernon, OH 43050-1440
Mailing address
1320 Coshocton Ave
Ste F
Mount Vernon, OH 43050-6400
Phone (740) 393-9111
Other names 1
- Physician Practices
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040722001173 | OH | Part B Supplier - Clinic/Group Practice | 1153301833 |
Receives reassigned benefits from 202 practitioners 9 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Mount Vernon, OH; Mt Vernon, OH; Ontario, OH; Centerburg, OH; Galion, OH; Bucyrus, OH; Danville, OH; Fredericktown, OH… |
Other NPIs on the same Medicare enrollment 9
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Rehabilitation Hospital Unit
- Mount Vernon, OH
- NPI 1083236921
O20040722001173
-
- Medicare Defined Swing Bed Hospital Unit
- Mount Vernon, OH
- NPI 1366154064
O20040722001173
National Provider Directory
National Provider DirectoryLocations
1320 Coshocton Ave
Ste F
Mount Vernon, OH 43050
Phone (740) 397-2991
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1221696000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1224201600000",
"number": "1801045406",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1320 COSHOCTON AVE",
"address_2": "STE F",
"city": "MOUNT VERNON",
"state": "OH",
"postal_code": "430506400",
"telephone_number": "740-393-9111",
"fax_number": "740-399-3158"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1330 COSHOCTON AVE",
"city": "MOUNT VERNON",
"state": "OH",
"postal_code": "430501440",
"telephone_number": "740-393-5537",
"fax_number": "740-393-5577"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KNOX COMMUNITY HOSPITAL",
"organizational_subpart": "NO",
"enumeration_date": "2008-09-18",
"last_updated": "2008-10-17",
"status": "A",
"authorized_official_last_name": "AMBROSIANI",
"authorized_official_first_name": "MICHAEL",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "740-393-9000",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Physician Practices",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Mount Vernon, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.