219 Health Network, Inc. | |
1400 S Lake Park Ave Ste 407 Hobart IN 46342-6791 | |
(219) 392-7025 | |
(219) 392-7026 |
Full Name | 219 Health Network, Inc. |
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Speciality | Clinic/Center |
Location | 1400 S Lake Park Ave Ste 407, Hobart, Indiana |
Authorized Official Name and Position | William Cortes (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 2197032585 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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219 Health Network, Inc. 100 W Chicago Ave Ste F East Chicago IN 46312-3261 Ph: (219) 392-7016 | 219 Health Network, Inc. 1400 S Lake Park Ave Ste 407 Hobart IN 46342-6791 Ph: (219) 392-7025 |
NPI Number | 1578235735 |
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Provider Enumeration Date | 10/05/2021 |
Last Update Date | 08/16/2024 |
Certification Date | 08/16/2024 |
Medicare PECOS PAC ID | 0547521452 |
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Medicare Enrollment ID | O20211012002409 |
Identifier | Type | State | Issuer |
---|---|---|---|
1578235735 | NPI | - | NPPES |
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