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219 HEALTH NETWORK INC. NPI 1861125932


NPI Information

NPI: 1861125932
Provider Name: 219 HEALTH NETWORK, INC.
Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

CLIA Number: 15D2115688

Address:
9126 COLUMBIA AVE
MUNSTER, IN
ZIP 46321
Phone: (219) 703-2408
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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 1861125932. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

9126 COLUMBIA AVE
MUNSTER, IN
ZIP 46321-907
Phone: (219) 703-2408
Fax: (219) 703-6684

The provider's authorized official is Patricia Johnson .
The authorized official title is Chief Executive Officer and has the following contact phone number (219) 703-2585.

The CLIA number assigned to this NPI record is 15D2115688 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/6/2022 and was last updated on 7/6/2022.


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
1207RE0101XInternal MedicineEndocrinology, Diabetes & MetabolismNo
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

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