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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

NPI Number 1619921558
LBN Legal business name KNOX WINAMAC COMMUNITY HEALTH CENTERS, INC
Authorized official DIANA FRITZ - (OFFICE MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 05/22/2006
Last updated 04/11/2013 - About 13 years ago
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
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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