Organization
LA PORTE CLINIC COMPANY LLC
Active
Other names
Knox Family Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER L JACKSON (SR DIRECTOR PROVIDER ENROLLMENT)
(615) 465-3334
Entity
Organization
Contact information
Practice address
104 E CULVER RD, SUITE 102, KNOX, IN 46534-2241
(219) 326-2461
Mailing address
PO BOX 689022, FRANKLIN, TN 37068-9022
(615) 778-8071
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
07/22/2016
Last updated
05/07/2024
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