Organization · NPI-2

219 Health Network INC

Family Medicine · Hammond, IN

NPI number1992360689

StatusActive

Last updated in NPPESAug 16, 2024

Details

NPI: 1992360689
Entity type: Organization (NPI-2)
Legal business name: 219 Health Network INC
Organization subpart: No
Enumeration date: May 8, 2019
Certification date: Aug 16, 2024
Last updated: Aug 16, 2024

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
207Q00000X	Family Medicine	–	–	Yes

Practice location

7217 Indianapolis Blvd
Hammond, IN 46324-2213

Phone 219-554-4081 · Fax 219-554-4088

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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