NPIMap

Knox Winamac Community Health Centers, Inc.

Organization Active NPI Community Health Clinic/Center · Knox, IN

NPI 1609913060 · NPPES record last updated Aug 22, 2020

Key facts

NPI
1609913060
Entity type
Organization (NPI type 2)
Primary specialty
Community Health Clinic/Center 261QC1500X
Legal business name
KNOX WINAMAC COMMUNITY HEALTH CENTERS, INC.
Practice address
1002 S Edgewood Dr
Knox, IN 46534-8226
Phone
(574) 772-6030
Fax
(574) 772-7494
NPI assigned
Feb 1, 2007
Organization subpart
No

Authorized official

Name
Ms. Jacqueline M Beverly
Title
Executive Director
Phone
(574) 772-6030

Corporate family (same tax ID) 4

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Knox Winamac HLTH CNTR Inc (5 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Clinic/Center 261QC1500X Yes

Addresses

Primary practice location

1002 S Edgewood Dr
Knox, IN 46534-8226

Mailing address

1002 S Edgewood Dr
Knox, IN 46534-8226
Phone (574) 772-6030

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 22, 2020.

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1609913060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1002 S EDGEWOOD DR",
            "city": "KNOX",
            "state": "IN",
            "postal_code": "465348226",
            "telephone_number": "574-772-6030",
            "fax_number": "574-772-7494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1002 S EDGEWOOD DR",
            "city": "KNOX",
            "state": "IN",
            "postal_code": "465348226",
            "telephone_number": "574-772-6030",
            "fax_number": "574-772-7494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KNOX WINAMAC COMMUNITY HEALTH CENTERS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BEVERLY",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "574-772-6030",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knox, IN

All providers in Knox, IN · Community Health Clinic/Center in Indiana

Sources for this page

Verify at the official NPI Registry.