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SCH360040-00 KNOX COMMUNITY HOSPITAL (Active)
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Main Details
Name
KNOX COMMUNITY HOSPITAL
Subdivision Name
Type
Sole Community Hospital
Rural
Yes
340B ID
SCH360040-00
Medicare Provider Number
360040
Additional Details
Current Program Status
Active
Registration Date
7/1/2014
Participating Start Date
10/1/2014
Participating Approval Date
8/18/2014
Last Recertification Date
8/28/2024
Contacts
Authorizing Official
Knox Community Hospital
Danielle O'Brien, CFO
(740) 393-9623
Primary Contact
Knox Community Hospital
Robbi Jo Mitchell-Enderle, Director of Pharmacy
(740) 393-9008
Addresses
Street Address
1330 COSHOCTON AVE
MOUNT VERNON, OH 43050
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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