Organization
KNOX COUNTY HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY MYERS (OFFICE MANAGER)
(940) 657-3906
Entity
Organization
Contact information
Practice address
712 SE 5TH ST, KNOX CITY, TX 79529-2105
(940) 657-3906
(940) 657-3909
Mailing address
PO BOX 488, 712 S 5TH, KNOX CITY, TX 79529-0488
(940) 657-3906
(940) 657-3909
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00J96X
BLUE CROSS BLUE SHIELD
TX
Enumeration date
11/22/2006
Last updated
08/22/2020
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