219 HEALTH NETWORK INC. NPI 1669104964

NPI Information

  • NPI: 1669104964
  • Provider Name: 219 HEALTH NETWORK, INC.
  • Classification: Clinic/Center - 261QF0400X
  • Specialization: Federally Qualified Health Center (FQHC)
  • Entity Type: Organization
  • CLIA Number: 15D0677545
  • Address: 13963 MORSE ST STE B
    CEDAR LAKE, IN
    ZIP 46303
  • Phone: (219) 374-5555

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NPI Details

219 HEALTH NETWORK, INC. is a federally qualified health center (fqhc) clinic center in Cedar Lake, IN. 219 HEALTH NETWORK, INC. NPI is 1669104964. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

13963 MORSE ST STE B
CEDAR LAKE, IN
ZIP 46303-639
Phone: (219) 374-5555
Fax: (219) 374-6669

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 15D0677545 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/27/2022 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
1207Q00000XFamily MedicineNo
2207R00000XInternal MedicineNo
3261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)Yes
4363LF0000XNurse PractitionerFamilyNo

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: 11/21/2025

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