Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Knox-Winamac Comm Hlth Ctrs, Inc

Organization Family Medicine Physician · NPI 1184922833

Knox-Winamac Comm Hlth Ctrs, Inc provides Family Medicine Physician services 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 Not confirmed with CMS for 15 years — call before visiting
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