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Contact Information

KNOX-WINAMAC COMM. HLTH CTRS, INC.
105 N. BROADWAY
SAN PIERRE, IN46374
 Phone: 219-828-3300
 Fax: 219-828-3500
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for KNOX-WINAMAC COMM. HLTH CTRS, INC.

NPI Number 1184922833
LBN Legal business name KNOX-WINAMAC COMM. HLTH CTRS, INC.
Authorized official TRACEY SHORTER - (EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart 1 Yes
Enumeration date 03/04/2011
Last updated 03/04/2011 - About 15 years ago
Identifiers
IN License # 01021497A
IN Medicaid 100210550A
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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