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Contact Information

KNOX WINAMAC COMMUNITY HEALTH CENTERS, INC
1520 S HEATON ST
KNOX, IN46534-2393
 Phone: 574-772-2188
 Fax: 574-772-2190
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Rural Health

261QR1300X B4[14] Rural Health Clinic
Indicates primary specialty

NPI Profile & details for KNOX WINAMAC COMMUNITY HEALTH CENTERS INC · (Female)

NPI Number 1619921558
Status Active
Credentials
Entity Individual
Enumeration date 05/22/2006
Last updated 04/11/2013 - About 13 years ago
Sole proprietor 1 Not specified
Identifiers
  • IN License # 50000720A
  • IN Medicaid 100225090
  • IN Medicaid 200020860A
  • IN Medicaid 200897290
  • IN Other 000000083056 BLUE CROSS BLUE SHIELD
  • IN Other 50000720A CORPORATION LICENSE
  • IN Other 351301967 TAX ID
  • IN Other 01024309A WALTER FRITZ, M.D. LICENS
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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