| Organization Name: | KNOX WINAMAC COMMUNITY HEALTH CENTERS, INC. |
| NPI Number: | 1609913060 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JACQUELINE M BEVERLY (EXECUTIVE DIRECTOR) |
| Mailing Address: | 1002 S Edgewood Dr Knox |
| State: | IN US |
| Postal Code: | 465348226 |
| Phone Number: | 5747726030 |
| Fax Number: | 5747727494 |
| NPI Enumeration Date: | 02/01/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QC1500X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Community Health |
| Taxonomy Definition: | |