Organization · NPI-2

219 Health Network INC

Family Medicine · East Chicago, IN

NPI number1093213506

StatusActive

Last updated in NPPESAug 16, 2024

Details

NPI: 1093213506
Entity type: Organization (NPI-2)
Legal business name: 219 Health Network INC
Organization subpart: No
Enumeration date: Jan 30, 2018
Certification date: Aug 16, 2024
Last updated: Aug 16, 2024

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
207Q00000X	Family Medicine	–	–	Yes
207R00000X	Internal Medicine	–	–
207V00000X	Obstetrics & Gynecology	–	–
2084P0800X	Psychiatry & Neurology, Psychiatry	–	–
261QD0000X	Clinic/Center, Dental	–	–
363LF0000X	Nurse Practitioner, Family	–	–

Practice location

100 W Chicago Ave Ste F
East Chicago, IN 46312-3261

Phone 219-392-7016

Mailing address

100 W Chicago Ave Ste F
East Chicago, IN 46312-3261

Phone 219-392-7016

Authorized official

William Cortes
Executive Director
2197032585

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