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KNOX-WINAMAC COMM. HLTH CTRS, INC.
NPI 1184922833
Family Medicine in San Pierre, IN

Active since March 04, 2011CLIA 15D0923453 · Microscopy
105 N. BROADWAY, SAN PIERRE, IN 46374(219) 828-3300(219) 828-3500 Get Directions Write a Review

NPPES record last updated: March 4, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Knox-winamac Comm. Hlth Ctrs, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KNOX-WINAMAC COMM. HLTH CTRS, INC. (NPI 1184922833) is a healthcare organization registered as a family medicine in San Pierre, Indiana and active in the NPI registry since March 2011. The organization holds a CLIA Microscopy certificate valid through September 30, 2027 and lists Tracey Shorter, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1184922833
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameKNOX-WINAMAC COMM. HLTH CTRS, INC.
Location Address105 N. BROADWAYSan Pierre, IN 46374
Mailing AddressPo Box 338, 121 E. Peacl StreetWinamac, IN 46996 · (574) 946-6196 · Fax (574) 946-7051
Phone(219) 828-3300
Fax(219) 828-3500
Organization SubpartYesParent: Knox-winamac Community Heath Centers, Inc
Authorized OfficialTracey ShorterExecutive Director · (574) 772-6030
Enumeration DateMarch 4, 2011
✔ NPI 1184922833 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IN · 01021497A
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
105 N. BROADWAY, San Pierre, IN 46374
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Other Identifiers 2

Medicaid100210550AIN
Medicare UPIN670300AIN

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 15D0923453

Knox Winamac Community Health Centers Inc · Knox, IN
Active · expires Sep 30, 2027
CLIA Number15D0923453
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateOctober 1, 2025
Certificate Expiration DateSeptember 30, 2027
Laboratory DirectorJohn Bulger
Laboratory Phone(574) 772-6030
Laboratory LocationKnox Winamac Community Health Centers Inc1002 S Edgewood Dr, Knox, IN 46534
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Knox-Winamac Comm. Hlth Ctrs, Inc.'s NPI number?

The NPI number for Knox-Winamac Comm. Hlth Ctrs, Inc. is 1184922833. It was assigned to this organization in the NPPES registry on March 4, 2011.

Where is Knox-Winamac Comm. Hlth Ctrs, Inc. located?

Knox-Winamac Comm. Hlth Ctrs, Inc. is located at 105 N. Broadway, San Pierre, IN 46374. The listed phone number is (219) 828-3300.

What is Knox-Winamac Comm. Hlth Ctrs, Inc.'s specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Knox-Winamac Comm. Hlth Ctrs, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 15D0923453) is associated with this NPI, valid through September 30, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Knox-Winamac Comm. Hlth Ctrs, Inc. was last updated on March 4, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.