Organization
KNOX COMMUNITY HOSPITAL
Active
Other names
KCH Home Infusion Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL AMBROSIANI (CFA)
(740) 393-9623
Entity
Organization
Contact information
Practice address
1330 COSHOCTON AVE, 3RD FLOOR, MOUNT VERNON, OH 43050-1440
(740) 326-4400
(740) 326-3555
Mailing address
1330 COSHOCTON AVE, 3RD FLOOR, MOUNT VERNON, OH 43050-1440
(740) 326-4400
(740) 326-3555
Taxonomy
Speciality
Code
Description
License number
State
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
3336H0001X
Home Infusion Therapy Pharmacy
Primary
—
—
Other
Enumeration date
12/04/2020
Last updated
09/01/2021
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