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Organization
PRINCIPAL KNOX LLC
Active
Organization
PRINCIPAL KNOX LLC
Active
Other names
Starke Memorial Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS M. WEISS (PRESIDENT)
(615) 372-8500
Entity
Organization
Contact information
Practice address
102 E CULVER RD, KNOX, IN 46534-2216
(574) 772-6231
(574) 772-5948
Mailing address
103 POWELL CT, STE. 200, BRENTWOOD, TN 37027-5079
(615) 372-8500
(615) 372-8572
Taxonomy
Speciality
Code
Description
License number
State
282NR1301X
Rural Acute Care Hospital
Primary
09-005091-1
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01300177
—
KY
05
—
100225240A
—
IN
Enumeration date
12/13/2006
Last updated
07/22/2009
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