KNOX CLINIC CORP (NPI# 1619311685) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619311685 |
| Entity Type | Organization |
| Organization Name | KNOX CLINIC CORP |
| Other Organization Name | PEDIATRIC AND ADOLESCENT CARE |
| Practice Address |
834 N Seminary St Suite 302 & 304 Galesburg IL 61401-2852 |
| Mailing Address |
Po Box 689022 Franklin TN 37068-9022 |
| Practice Telephone | 3093422171 |
| Practice Fax Number | 3093427205 |
| Mailing Telephone | 6156286038 |
| Mailing Fax Number | 6054653007 |
| Enumeration Date | 2013-04-22 |
| Last Update Date | 2013-04-22 |
| Authorized Official Name | SOPHIA L ARWOOD (DIRECTOR) |
| Authorized Official Telephone | 6156286038 |
| Is Organization Subpart | Y |
| Parent Organization Name | KNOX CLINIC CORP |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
IL | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Pediatric and Adolescent Care | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669947503 | Knox Clinic Corp | Durable Medical Equipment & Medical Supplies | 834 N Seminary St Ste 102, Galesburg, IL 61401-2897 | 2018-10-08 |
| 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 SUITE 302 & 304 |
| City | GALESBURG |
| State | IL |
| Zip Code | 61401-2852 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447253646 | Jesse H Rigsby IIi | Ophthalmology | 834 N Seminary St, Ste 103, Galesburg, IL 61401-2897 | 2005-05-23 |
| 1669806600 | Elizabeth Eyler | Optometrist | 834 N Seminary St, Ste 103, Galesburg, IL 61401-2852 | 2013-08-27 |
| 1538503503 | Knox Clinic Corp | Clinic/Center | 834 N Seminary St, Suite 201, Galesburg, IL 61401-2852 | 2013-04-22 |
| 1922383280 | Kristine M. Morland-schultz | Nurse Practitioner | 834 N Seminary St, Galesburg, IL 61401-2852 | 2011-10-19 |
| 1427366376 | Tara Lucas | Nurse Practitioner | 834 N Seminary St, Suite 502, Galesburg, IL 61401-2852 | 2010-09-14 |
| 1235444035 | Ruby Verma | Family Medicine | 834 N Seminary St, Suite 201, Galesburg, IL 61401-2852 | 2010-08-17 |
| 1386972016 | Bethany L Glaser | Physician Assistant | 834 N Seminary St, Suite 402, Galesburg, IL 61401-2852 | 2009-11-18 |
| 1134361645 | Midwest Orthopedic Services, Sc | Orthopaedic Surgery | 834 N Seminary St, Suite 406, Galesburg, IL 61401-2852 | 2009-03-30 |
| 1659510998 | Angelo Soyangco,m.d. | Internal Medicine | 834 N Seminary St, Ste 401, Galesburg, IL 61401-2852 | 2009-02-10 |
| 1225290083 | Lorraine Ann Garland | Obstetrics & Gynecology | 834 N Seminary St, Galesburg, IL 61401-2852 | 2008-07-01 |
| Find all providers in the same location | ||||
| 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 | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538503503 | Knox Clinic Corp | Clinic/Center | 834 N Seminary St, Suite 201, Galesburg, IL 61401-2852 | 2013-04-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396386181 | Board of Trustees of Southern Illinois University | Clinic/Center | 300 W Oak St Ste 100, Carbondale, IL 62901-1496 | 2019-10-02 |
| 1043872781 | Mendota Community Hospital | Clinic/Center | 1401 E 12th St Ste 400, Mendota, IL 61342-9216 | 2019-07-02 |
| 1114582913 | Hammond Henry Dist Hospital | Clinic/Center | 203 W Front St, Annawan, IL 61234-7756 | 2019-05-07 |
| 1841763810 | Heartland Women's Healthcare Ltd | Clinic/Center | 24 Veterans Dr, Harrisburg, IL 62946-3320 | 2019-01-02 |
| 1821561895 | Heartland Women's Healthcare Ltd | Clinic/Center | 215 N Logan St Ste A, West Frankfort, IL 62896-2314 | 2019-01-02 |
| 1578040275 | Osf Healthcare System | Clinic/Center | 230 S Exchange St, Galva, IL 61434-1871 | 2018-07-25 |
| 1700380219 | Toofan Medical Holdings, Ltd. | Clinic/Center | 1510 W Springfield Rd Ste A, Taylorville, IL 62568-2764 | 2018-03-20 |
| 1326542903 | Toofan Medical Holdings, Ltd. | Clinic/Center | 1001 Avenue of Mid America Ste 4, Effingham, IL 62401-4634 | 2018-03-20 |
| 1649795659 | Harrisburg Medical Center Inc | Clinic/Center | 3106 Outer Dr Ste 200, Marion, IL 62959-5270 | 2017-08-10 |
| 1588186308 | Wabash General Hospital District | Clinic/Center | 1430 College Dr Ste A, Mount Carmel, IL 62863-2649 | 2017-07-13 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on KNOX CLINIC CORP.
| 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.