Organization · NPI-2
219 Health Network, INC.
Clinic/Center, Federally Qualified Health Center (FQHC) · Hobart, IN
NPI number1265148498
StatusActive
Last updated in NPPESAug 16, 2024
Details
- NPI
- 1265148498
- Entity type
- Organization (NPI-2)
- Legal business name
- 219 Health Network, INC.
- Organization subpart
- No
- Enumeration date
- Jan 31, 2023
- Certification date
- Aug 16, 2024
- Last updated
- Aug 16, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QF0400X | Clinic/Center, Federally Qualified Health Center (FQHC) | – | – | Yes |
| 207RR0500X | Internal Medicine, Rheumatology | – | – |
Practice location
1356 S Lake Park AveHobart, IN 46342-5964
Phone 219-836-1310 · Fax 219-836-0617
Mailing address
100 W Chicago Ave Ste FEast Chicago, IN 46312-3261
Phone 219-392-7016 · Fax 219-397-6904
Authorized official
William Cortes
Executive Director
2197032585
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