Knox-Winamac Comm. Hlth Ctrs, Inc.

NPI #1184922833 in San Pierre, Indiana

Provider Information

NPI Number: 1184922833
Entity Type: Organization
Organization Name: Knox-Winamac Comm. Hlth Ctrs, Inc.
Subpart: Yes (part of a larger organization)
Parent Organization: KNOX-WINAMAC COMMUNITY HEATH CENTERS, INC
Primary Specialty: Family Medicine
Enumeration Date: Mar 4, 2011
Last Updated: Mar 4, 2011

Practice Location

Address: 105 N. BROADWAY
City: San Pierre
State: Indiana
ZIP Code: 46374
Phone: (219) 828-3300

Authorized Official

Name: TRACEY SHORTER
Title: EXECUTIVE DIRECTOR
Phone: (574) 772-6030

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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