Organization Name: | KNOX WINAMAC COMMUNITY HEALTH CENTERS, INC |
NPI Number: | 1619921558 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DIANA R FRITZ (OFFICE MANAGER) |
Mailing Address: | 1520 S Heaton St Knox |
State: | IN US |
Postal Code: | 465342393 |
Phone Number: | 5747722188 |
Fax Number: | 5747722190 |
NPI Enumeration Date: | 05/22/2006 |
NPI Last Update Date: | 04/11/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QR1300X |
License Number: | 50000720A |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | IN |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Rural Health |
Taxonomy Definition: |