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 1520 S Heaton St , Knox IN 46534-2393. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Ambulatory Health Care Facilities / Rural Health. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. Knox Winamac Community Health Centers, Inc can be contacted via phone (574) 772-2188, or through Fritz, Diana R via phone (574) 772-2188.

Contact Information

Primary practice address
1520 S Heaton St Knox IN 46534-2393
Fax: (574) 772-2190
Website:
Authorized official contact:
Name: Fritz, Diana R

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 50000720A Indiana
Ambulatory Health Care Facilities / Rural Health 261QR1300X 50000720A Indiana

Profile Details

NPI number 1619921558
LBN Legal business name Knox Winamac Community Health Centers, Inc
DBA Doing business as
Authorized official Fritz, Diana R
Entity Organization
Organization subpart 1 No
Enumeration date May 22nd, 2006
Last updated Apr 11th, 2013 - about 11 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619921558 NPPES
Indiana Other 000000083056 BLUE CROSS BLUE SHIELD
Indiana MEDICAID 200020860A BLUE CROSS BLUE SHIELD
Indiana Other 50000720A BLUE CROSS BLUE SHIELD
Indiana MEDICAID 200897290 BLUE CROSS BLUE SHIELD
Indiana MEDICAID 100225090 BLUE CROSS BLUE SHIELD
Indiana Other 351301967 BLUE CROSS BLUE SHIELD
Indiana Other 01024309A BLUE CROSS BLUE SHIELD

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