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KNOX-WINAMAC COMMUNITY HEALTH CENTERS INC. NPI 1528000395


NPI Information

NPI: 1528000395
Provider Name: KNOX-WINAMAC COMMUNITY HEALTH CENTERS, INC.
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
121 E PEARL ST
WINAMAC, IN
ZIP 46996
Phone: (574) 946-6196
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KNOX-WINAMAC COMMUNITY HEALTH CENTERS, INC. is a family medicine in Winamac, IN. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. KNOX-WINAMAC COMMUNITY HEALTH CENTERS, INC. NPI is 1528000395. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

121 E PEARL ST
WINAMAC, IN
ZIP 46996-310
Phone: (574) 946-6196
Fax: (574) 946-7051

The provider's authorized official is Tracey Shorter .
The authorized official title is Executive Director and has the following contact phone number (574) 946-6196.

The enumeration date for this NPI number is 6/13/2006 and was last updated on 1/27/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily Medicine01021407AINDIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1200408280AMEDICAIDINDIANA
2670300MEDICARE ID-TYPE UNSPECIFIEDINDIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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