Organization
KNOX WINAMAC COMMUNITY HEALTH CENTERS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY ROBB (CHIEF EXECUTIVE OFFICER)
(574) 772-6030
Entity
Organization
Contact information
Practice address
1002 S EDGEWOOD DR, KNOX, IN 46534-8226
(574) 772-6030
(574) 772-7494
Mailing address
1002 S EDGEWOOD DR, KNOX, IN 46534-8226
(574) 772-6030
(574) 772-7494
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
IN
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200897290A
—
IN
Enumeration date
03/03/2008
Last updated
10/07/2016
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