| Knox Winamac Community Health Centers, Inc | |
|
105 N Broadway St San Pierre IN 46374-9509 | |
| (574) 828-3020 | |
| (574) 828-3044 |
| Full Name | Knox Winamac Community Health Centers, Inc |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 105 N Broadway St, San Pierre, Indiana |
| Authorized Official Name and Position | Kyle Small (CFO) |
| Authorized Official Contact | 5747726030 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Knox Winamac Community Health Centers, Inc 1002 S Edgewood Dr Knox IN 46534-8226 Ph: (574) 772-6030 | Knox Winamac Community Health Centers, Inc 105 N Broadway St San Pierre IN 46374-9509 Ph: (574) 828-3020 |
| NPI Number | 1457616393 |
|---|---|
| Provider Enumeration Date | 07/06/2012 |
| Last Update Date | 07/06/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457616393 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Knox-winamac Comm. Hlth Ctrs, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 105 N. Broadway, San Pierre, IN 46374 Phone: 219-828-3300 Fax: 219-828-3500 |