KNOX WINAMAC COMMUNITY HEALTH CENTERS, INC.
NPI 1609913060
Clinic/Center - Community Health in Knox, IN

NPI Status: Active since February 01, 2007

Contact Information

1002 S EDGEWOOD DR
KNOX, IN
ZIP 46534
Phone: (574) 772-6030
Fax: (574) 772-7494

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  • Organization
  • Clinic/Center
  • Community Health
  • CLIA Number: 15D0923453
  • CLIA Cert. Type: Federally Qualified Health Center
  • CLIA Exp. Date: 09-30-2025

About KNOX WINAMAC COMMUNITY HEALTH CENTERS, INC.

This page provides the complete NPI Profile along with additional information for Knox Winamac Community Health Centers, Inc., a primary care provider established in Knox, Indiana operating as a Clinic/center, focusing in community health . The healthcare provider is registered in the NPI registry with number 1609913060 assigned on February 2007. The practitioner's primary taxonomy code is 261QC1500X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Ms. Jacqueline M Beverly (Executive Director)

NPI
1609913060
Provider Name
KNOX WINAMAC COMMUNITY HEALTH CENTERS, INC.
Entity Type
Organization
Location Address
1002 S EDGEWOOD DR KNOX, IN 46534
Location Phone
(574) 772-6030
Location Fax
(574) 772-7494
Mailing Address
1002 S EDGEWOOD DR KNOX, IN 46534
Mailing Phone
(574) 772-6030
Mailing Fax
(574) 772-7494
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-01-2007
Last Update Date
08-22-2020
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A primary care provider (PCP) like Knox Winamac Community Health Centers, Inc. sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Community Health

Taxonomy Code
261QC1500X
Type
Ambulatory Health Care Facilities

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MS. JACQUELINE M BEVERLY

Authorized Official Title
EXECUTIVE DIRECTOR
Authorized Official Phone
(574) 772-6030

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
15D0923453
Facility Type
Federally Qualified Health Center
Certificate Effective Date
October 01, 2023
Certificate Expiration Date
September 30, 2025
Laboratory Director
JOHN BULGER
Certificate Type
Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description
This CLIA certificate is issued to Knox Winamac Community Health Centers, Inc. in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1609913060
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
26091816012
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 0 + 9 + 1 + 8 + 1 + 6 + 0 + 1 + 2 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1609913060 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1811086903MR. KELLY O'BRIAN CLARK R.N., M.S.N., F.N.P.
Individual
Nurse Practitioner (Adult Health)1002 S EDGEWOOD DR
KNOX, IN 46534
(574) 772-6030
1629248919KNOX WINAMAC COMMUNITY HEALTH CENTERS INC
Organization
Clinic/Center (Federally Qualified Health Center (FQHC))1002 S EDGEWOOD DR
KNOX, IN 46534
(574) 772-6030
1851330112DR. WALTER E FRITZ M.D.
Individual
Family Medicine1002 S EDGEWOOD DR
KNOX, IN 46534
(574) 772-2188

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1609913060, enumerated in the NPI registry as an "organization" on February 01, 2007

The provider is located at 1002 S Edgewood Dr Knox, In 46534 and the phone number is (574) 772-6030

This medical organization specializes in Clinic/Center with taxonomy code 261QC1500X with a focus in Community Health

The provider's CLIA number is 15D0923453 for a "federally qualified health center" facility with a CLIA Certificate for Provider-Performed Microscopy Procedures (PPMP). This CLIA certificate is issued in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing..

This NPI record was last updated on February 01, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.