Organization
KNOXVILLE COMMUNITY HOSPITAL INC
Active
Parent organization
KNOXVILLE COMMUNITY HOSPITAL INC
Other names
Knoxville Hospital & Clinics
Organization subpart
Yes
Provider details
NPI number
Legal business name
KNOXVILLE COMMUNITY HOSPITAL INC
Authorized official
MR. KEVIN L. KINCAID (CEO)
(641) 842-1400
Entity
Organization
Contact information
Practice address
1202 W HOWARD ST, KNOXVILLE, IA 50138-3103
(641) 828-7211
(641) 842-7030
Mailing address
1002 S LINCOLN ST, KNOXVILLE, IA 50138-3155
(641) 842-2151
(641) 842-1470
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
208600000X
Surgery Physician
—
—
225100000X
Physical Therapist
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
367A00000X
Advanced Practice Midwife
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0433995
—
IA
01
—
36302
WELLMARK BC&BS IA
IA
Enumeration date
08/02/2006
Last updated
10/26/2011
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