Organization
KNOX WINAMAC COMMUNITY HEALTH CENTERS, INC
Active
Parent organization
KNOX WINAMAC COMMUNITY HEALTH CENTERS, INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
KNOX WINAMAC COMMUNITY HEALTH CENTERS, INC
Authorized official
KYLE SMALL (CFO)
(574) 772-6030
Entity
Organization
Contact information
Practice address
105 N BROADWAY ST, SAN PIERRE, IN 46374-9509
(574) 828-3020
(574) 828-3044
Mailing address
1002 S EDGEWOOD DR, KNOX, IN 46534-8226
(574) 772-6030
(574) 772-7494
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
07/06/2012
Last updated
07/06/2012
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