KNOX COUNTY IMMUNIZATION CLINIC NPI 1023189610

NPI Information

NPI: 1023189610
Provider Name: KNOX COUNTY IMMUNIZATION CLINIC
Classification: Public Health or Welfare - 251K00000X
Entity Type: Organization
Address:
328 N 2ND ST STE 100
VINCENNES, IN
ZIP 47591
Phone: (812) 882-8080
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KNOX COUNTY IMMUNIZATION CLINIC is a public health or welfare in Vincennes, IN. KNOX COUNTY IMMUNIZATION CLINIC NPI is 1023189610. The provider is registered as an organization entity type.

The provider's business location address is:

328 N 2ND ST STE 100
VINCENNES, IN
ZIP 47591-353
Phone: (812) 882-8080
Fax: (812) 882-8701

The provider's authorized official is Alan Stewart .
The authorized official title is County Health Officer and has the following contact phone number (812) 882-8080.

The enumeration date for this NPI number is 11/13/2006 and was last updated on 4/1/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	251K00000X	Public Health or Welfare				Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	200127560	MEDICAID	INDIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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