KNOX FAMILY PRACTICE; NPI #1346373743

Contact Information

KNOX FAMILY PRACTICE

1520 S HEATON ST
KNOX, IN 46534-2393

Phone: 574-772-2188
Fax: 574-772-2190
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Rural Health	261QR1300X	B4[14]	Rural Health Clinic

Indicates primary specialty

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NPI Profile & details for KNOX FAMILY PRACTICE

NPI # 1346373743

LBN Legal business name KNOX FAMILY PRACTICE

Authorized official DIANA FRITZ - (OFFICE MANAGER)

Entity Organization

Organization subpart ¹ No

Enumeration date 03/14/2007

Last updated 08/22/2020 - About 6 years ago

Identifiers

IN	License #	50000720A
IN	Other	000000083056	ANTHEM PIN
IN	Other	50000720A	CORPORATION LICENSE
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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