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219 HEALTH NETWORK INC. NPI 1013690718


NPI Information

NPI: 1013690718
Provider Name: 219 HEALTH NETWORK, INC.
Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
9112 COLUMBIA AVE
MUNSTER, IN
ZIP 46321
Phone: (219) 836-5040
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219 HEALTH NETWORK, INC. is a federally qualified health center (fqhc) clinic center in Munster, IN. 219 HEALTH NETWORK, INC. NPI is 1013690718. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

9112 COLUMBIA AVE
MUNSTER, IN
ZIP 46321-925
Phone: (219) 836-5040
Fax: (219) 836-6835

The provider's authorized official is Leo Correa .
The authorized official title is Chief Executive Officer and has the following contact phone number (219) 392-7004.

The enumeration date for this NPI number is 8/9/2023 and was last updated on 4/2/2024.


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
1207V00000XObstetrics & GynecologyNo
2261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)Yes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.