KNOXVILLE COMMUNITY HOSPITAL, INC. (NPI# 1023025137) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023025137 |
| Entity Type | Organization |
| Organization Name | KNOXVILLE COMMUNITY HOSPITAL, INC. |
| Other Organization Name | KNOXVILLE HOSPITAL & CLINICS |
| Practice Address |
104 N Washington St Pleasantville IA 50225 |
| Mailing Address |
1002 S Lincoln St Knoxville IA 50138-3121 |
| Practice Telephone | 5158483113 |
| Practice Fax Number | 5158485257 |
| Mailing Telephone | 6418422151 |
| Mailing Fax Number | 6418421470 |
| Enumeration Date | 2006-08-02 |
| Last Update Date | 2007-11-14 |
| Authorized Official Name | ANN MARGARET HELWIG (CFO) |
| Authorized Official Telephone | 6418422151 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
630031H | IA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 207Q00000X | Family Medicine | 630031H | IA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 0433995 | 05 | |
| IA | WELLMARK BC&BSIA | 39112 | 01 |
| Other Name | Type Code |
|---|---|
| Knoxville Hospital & Clinics | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952417396 | Knoxville Community Hospital, Inc. | Family Medicine | 113 N Main St, Melcher, IA 50163 | 2006-08-21 |
| Street Address |
104 N WASHINGTON ST |
| City | PLEASANTVILLE |
| State | IA |
| Zip Code | 50225 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821071515 | Brandi L Booth | Nurse Practitioner | 104 N Washington St, Pleasantville, IA 50225-9312 | 2005-11-28 |
| 1578735429 | Pleasantville Clinic | Non-Pharmacy Dispensing Site | 104 N Washington St, Pleasantville, IA 50225-9312 | 2008-04-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558523803 | Stone Ridge Dental Plc | Dentist | 1008 W Pleasant Street, Pleasantville, IA 50225 | 2008-06-27 |
| 1730197401 | Pleasantville Fire Rescue | Ambulance | 1012 Business Hwy 5, Pleasantville, IA 50225 | 2006-08-04 |
| 1427133941 | Thomas M Mohr | Dentist | 114 1/2 East Monroe Street, Pleasantville, IA 50225-0237 | 2006-10-25 |
| 1609191469 | Pleasantville Csd | Local Education Agency (LEA) | 415 Jones St, Pleasantville, IA 50225-7663 | 2010-04-05 |
| 1891176285 | Liautaud Family Chiropractic LLC | Clinic/Center | 114 1/2 E Monroe St, Pleasantville, IA 50225-7744 | 2015-06-11 |
| 1891922167 | Joseph Patrick Tesene | Dentist | 1008 W Pleasant St, Pleasantville, IA 50225-9546 | 2009-06-15 |
| 1760934756 | Klise Dentistry, Pllc | Clinic/Center | 1008 W Pleasant St, Pleasantville, IA 50225-9546 | 2016-10-26 |
| 1326451253 | Jacob Hopper | Dentist | 1008 W Pleasant St, Pleasantville, IA 50225-9546 | 2014-06-09 |
| 1699736850 | Pleasantville Care Center LLC | Skilled Nursing Facility | 909 N State St, Pleasantville, IA 50225-9789 | 2006-03-29 |
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760759476 | Elizabeth N. Sousa | Family Medicine | 130, Lake Shore Drive, Pleasantville, NY 10570 | 2011-11-23 |
| 1851405567 | James M Zehner | Family Medicine | 231 N Main St, Pleasantville, PA 16341-9722 | 2006-08-18 |
| 1588653109 | Edward L. Merker | Family Medicine | 180 Marble Ave, Pleasantville, NY 10570-3424 | 2005-10-17 |
| 1891109427 | Saint Vincent Medical Education and Research Institute | Family Medicine | 231 N Main St, Pleasantville, PA 16341-9722 | 2014-06-11 |
| 1427329200 | Austin J Gerber,d.o.p.a. | Family Medicine | 850 N Main St, Pleasantville, NJ 08232-1438 | 2012-01-25 |
| 1295994853 | Jacob Franklin Cogen | Family Medicine | 22 N Franklin Blvd, 2nd Floor, Pleasantville, NJ 08232-2547 | 2008-06-08 |
| 1801943220 | Austin James Gerber | Family Medicine | 850 N Main St, Pleasantville, NJ 08232-1438 | 2007-01-05 |
| 1003921594 | Nancy Merle | Family Medicine | 932 S Main St, Pleasantville, NJ 08232-3646 | 2006-08-21 |
| 1659360204 | Frank Soroka | Family Medicine | 180 Marble Ave, Pleasantville, NY 10570-3424 | 2005-10-17 |
| 1811986466 | Irina Klyatis | Family Medicine | 180 Marble Ave, Pleasantville, NY 10570-3424 | 2005-10-17 |
| Find all providers in PLEASANTVILLE | ||||
| City | PLEASANTVILLE |
| Zip Code | 50225 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.