Knox-Winamac Community Health Centers, Inc.

LBN: Knox-Winamac Community Health Centers, Inc.
Knox-Winamac Community Health Centers, Inc. is an health care organization with primary practice located at 121 E Pearl St , Winamac IN 46996-1310. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Knox-Winamac Community Health Centers, Inc. can be contacted via phone (574) 946-6196, or through Shorter, Tracey via phone (574) 946-6196.

Contact Information

Primary practice address
121 E Pearl St Winamac IN 46996-1310
Phone: (574) 946-6196
Fax: (574) 946-7051
Website:
Map and Directions
Authorized official contact:
Name: Shorter, Tracey
Phone: (574) 946-6196

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 01021407A Indiana

Profile Details

NPI number 1528000395
LBN Legal business name Knox-Winamac Community Health Centers, Inc.
DBA Doing business as
Authorized official Shorter, Tracey
Entity Organization
Organization subpart 1 No
Enumeration date Jun 13th, 2006
Last updated Jan 27th, 2011 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1528000395 NPPES
Indiana MEDICAID 200408280A

Popular Providers