KNOX CLINIC CORP (NPI# 1669947503) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669947503 |
| Entity Type | Organization |
| Organization Name | KNOX CLINIC CORP |
| Practice Address |
834 N Seminary St Ste 102 Galesburg IL 61401-2897 |
| Mailing Address |
Po Box 5009 Brentwood TN 37024-5009 |
| Practice Telephone | 3093420194 |
| Practice Fax Number | 3093412202 |
| Mailing Telephone | 6152213851 |
| Enumeration Date | 2018-10-08 |
| Last Update Date | 2018-10-08 |
| Authorized Official Name | SOPHIA ARWOOD (DIRECTOR) |
| Authorized Official Telephone | 6152213851 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Other Name | Type Code |
|---|---|
| Cottage Orthopedics and Podiatry | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619311685 | Knox Clinic Corp | Clinic/Center | 834 N Seminary St, Suite 302 & 304, Galesburg, IL 61401-2852 | 2013-04-22 |
| 1538503503 | Knox Clinic Corp | Clinic/Center | 834 N Seminary St, Suite 201, Galesburg, IL 61401-2852 | 2013-04-22 |
| 1265481006 | Knox Clinic Corp | Surgery | 834 N Seminary St, Galesburg, IL 61401-2852 | 2006-05-09 |
| Street Address |
834 N SEMINARY ST STE 102 |
| City | GALESBURG |
| State | IL |
| Zip Code | 61401-2897 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679174973 | Jeff Engwall | Pharmacist | 359 Knox Square Drive, Galesburg, IL 61401 | 2020-11-03 |
| 1861962441 | Becky Cameron | Counselor | 2323 Windish Dr., Galesburg, IL 61401 | 2018-11-27 |
| 1295245496 | Aaron Thomas Wachtel | Dentist | 1172 Monroe Street, Galesburg, IL 61401 | 2017-10-03 |
| 1588182224 | Alicia Warren | Speech-Language Pathologist | 932 Harrison St., Galesburg, IL 61401 | 2017-09-01 |
| 1770986770 | Virginia G Kasser | Psychologist | 575 N Kellogg, Galesburg, IL 61401 | 2014-10-03 |
| 1063814309 | Lakshmi Kalyani Gudavalli | Physical Therapist | 275 E Carl Sandburg Drive, Marigold Rehabilitation, Galesburg, IL 61401 | 2014-09-18 |
| 1821350489 | James Eugene Tiller | Psychologist | 2101 Windish Drive, Galesburg, IL 61401 | 2012-06-11 |
| 1720285836 | Donald J. Regnier | Hearing Instrument Specialist | 4l Plaza, Suite 57, Galesburg, IL 61401 | 2007-07-02 |
| 1306066535 | Arnold John Minor | Dentist | 69 N Chambers St, Galesburg, IL 61401 | 2007-04-30 |
| 1114140373 | Community Residential Centers Inc | Intermediate Care Facility, Mentally Retarded | 239 S Cherry Street, Galesburg, IL 61401 | 2007-04-10 |
| Find all providers in zip 61401 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760026009 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 2323 Windish Dr Ste 5-70, Galesburg, IL 61401-9780 | 2019-10-30 |
| 1053499400 | Lincare Inc. | Durable Medical Equipment & Medical Supplies | 53 E Simmons St, Galesburg, IL 61401-4514 | 2006-11-02 |
| 1457366650 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1057 E Main St, Galesburg, IL 61401-3973 | 2006-07-29 |
| 1437164662 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 844 W Fremont St, Galesburg, IL 61401-2509 | 2006-07-29 |
| 1518980614 | Galesburg Home Care Corporation | Durable Medical Equipment & Medical Supplies | 427 E Fremont St, Galesburg, IL 61401-0505 | 2006-07-26 |
| 1245252055 | Highland Park Cvs LLC | Durable Medical Equipment & Medical Supplies | 1071 W Carl Sandburg Dr, Galesburg, IL 61401-1343 | 2006-07-24 |
| 1447277702 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 659 Knox Square Dr, Galesburg, IL 61401-8605 | 2006-07-16 |
| 1235164146 | Hy Vee Inc | Durable Medical Equipment & Medical Supplies | 2030 E Main St, Galesburg, IL 61401-5460 | 2006-07-11 |
| 1851324602 | Hy Vee Inc | Durable Medical Equipment & Medical Supplies | 1975 National Blvd, Galesburg, IL 61401-1488 | 2006-07-07 |
| 1598715781 | Deco Inc. | Durable Medical Equipment & Medical Supplies | 12 Public Sq, Galesburg, IL 61401-4526 | 2006-05-11 |
| Find all providers in GALESBURG | ||||
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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.