# KNOX WINAMAC COMMUNITY HEALTH CENTERS, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1609913060
- **Authorized official:** MS. JACQUELINE M BEVERLY (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (574) 772-6030

## Contact information

- **Practice address:** 1002 S EDGEWOOD DR, KNOX, IN 46534-8226
- **Practice address phone:** (574) 772-6030
- **Practice address fax:** (574) 772-7494
- **Mailing address:** 1002 S EDGEWOOD DR, KNOX, IN 46534-8226
- **Mailing address phone:** (574) 772-6030
- **Mailing address fax:** (574) 772-7494

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QC1500X | Community Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 02/01/2007
- **Last updated:** 08/22/2020