Organization · NPI-2

219 Health Network INC

Family Medicine · East Chicago, IN

NPI number1497310973
StatusActive
Last updated in NPPESAug 16, 2024

Details

NPI
1497310973
Entity type
Organization (NPI-2)
Legal business name
219 Health Network INC
Organization subpart
No
Enumeration date
May 9, 2019
Certification date
Aug 16, 2024
Last updated
Aug 16, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine––Yes

Practice location

2001 E Columbus Dr
East Chicago, IN 46312-4109

Phone 219-398-9840 · Fax 219-398-9845

Mailing address

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

Phone 219-703-2583 · Fax 219-703-6749

Authorized official

William Cortes
Executive Director
2197032585

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