Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Knox-Winamac Comm Hlth Ctrs, Inc

Organization Family Medicine Physician · NPI 1184922833

Knox-Winamac Comm Hlth Ctrs, Inc is a Family Medicine Physician in San Pierre, Indiana. Licensed in Indiana. Registered with an NPI since 2011.

Licensed in
IN
In the registry since
2011
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

105 N Broadway
San Pierre, IN 46374
Phone: (219) 828-3300
Fax: (219) 828-3500
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 01021497A (IN)

Record details

NPI number1184922833
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationKnox-Winamac Community Heath Centers, Inc
Authorized official Tracey Shorter — Executive Director · (574) 772-6030
NPI enumeratedMarch 4, 2011
Last updated in NPPESMarch 4, 2011
Mailing addressPo Box 338, 121 E. Peacl Street, Winamac, IN 46996