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Organization
KNOX WINAMAC COMMUNITY HEALTH CENTERS, INC
Active
Organization
KNOX WINAMAC COMMUNITY HEALTH CENTERS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANA R FRITZ (OFFICE MANAGER)
(574) 772-2188
Entity
Organization
Contact information
Practice address
1520 S HEATON ST, KNOX, IN 46534-2393
(574) 772-2188
(574) 772-2190
Mailing address
1520 S HEATON ST, KNOX, IN 46534-2393
(574) 772-2188
(574) 772-2190
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
50000720A
IN
261QR1300X
Rural Health Clinic/Center
50000720A
IN
Other
Enumeration date
05/22/2006
Last updated
04/11/2013
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