# KNOX WINAMAC COMMUNITY HEALTH CENTERS, INC

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

## Provider details

- **NPI number:** 1619921558
- **Authorized official:** DIANA R FRITZ (OFFICE MANAGER)
- **Authorized official phone:** (574) 772-2188

## Contact information

- **Practice address:** 1520 S HEATON ST, KNOX, IN 46534-2393
- **Practice address phone:** (574) 772-2188
- **Practice address fax:** (574) 772-2190
- **Mailing address:** 1520 S HEATON ST, KNOX, IN 46534-2393
- **Mailing address phone:** (574) 772-2188
- **Mailing address fax:** (574) 772-2190

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 50000720A | IN | Yes |
| 261QR1300X | Rural Health Clinic/Center | 50000720A | IN | — |

## Other

- **Enumeration date:** 05/22/2006
- **Last updated:** 04/11/2013