Knox Winamac Community Health Centers, INC
NPI #1457616393 in San Pierre, Indiana
Provider Information
- NPI Number
- 1457616393
- Entity Type
- Organization
- Organization Name
- Knox Winamac Community Health Centers, INC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- KNOX WINAMAC COMMUNITY HEALTH CENTERS, INC
- Primary Specialty
- Clinic/Center - Federally Qualified Health Center (FQHC)
- Enumeration Date
- Jul 6, 2012
- Last Updated
- Jul 6, 2012
Practice Location
- Address
- 105 N BROADWAY ST
- City
- San Pierre
- State
- Indiana
- ZIP Code
- 46374-9509
- Phone
- (574) 828-3020
Authorized Official
- Name
- KYLE SMALL
- Title
- CFO
- Phone
- (574) 772-6030
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Federally Qualified Health Center (FQHC) — Federally Qualified Health Center (FQHC) |
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