219 HEALTH NETWORK INC NPI 1578025896

NPI Information

  • NPI: 1578025896
  • Provider Name: 219 HEALTH NETWORK INC
  • Classification: Clinic/Center - 261QF0400X
  • Specialization: Federally Qualified Health Center (FQHC)
  • Entity Type: Organization
  • CLIA Number: 15D2117665
  • Address: 4320 FIRST STREET
    SUITE 211
    EAST CHICAGO, IN
    ZIP 46312
  • Phone: (219) 703-2577

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NPI Details

219 HEALTH NETWORK INC is a federally qualified health center (fqhc) clinic center in East Chicago, IN. 219 HEALTH NETWORK INC NPI is 1578025896. The provider is registered as an organization entity type.

The provider's business location address is:

4320 FIRST STREET
SUITE 211
EAST CHICAGO, IN
ZIP 46312
Phone: (219) 703-2577
Fax: (219) 703-6679

The provider's authorized official is William Cortes .
The authorized official title is Executive Director and has the following contact phone number (219) 703-2585.

The CLIA number assigned to this NPI record is 15D2117665 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/4/2019 and was last updated on 8/16/2024.

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
1261QF0400XClinic/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: 3/30/2025

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