| 219 Health Network, Inc. | |
|
4320 Fir St Unit 307 East Chicago IN 46312-3078 | |
| (219) 398-9840 | |
| (219) 398-9845 |
| Full Name | 219 Health Network, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 4320 Fir St Unit 307, East Chicago, 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 |
|---|---|
| 219 Health Network, Inc. 100 W Chicago Ave Ste F East Chicago IN 46312-3261 Ph: (219) 392-7016 | 219 Health Network, Inc. 4320 Fir St Unit 307 East Chicago IN 46312-3078 Ph: (219) 398-9840 |
| NPI Number | 1588239040 |
|---|---|
| Provider Enumeration Date | 05/26/2021 |
| Last Update Date | 08/16/2024 |
| Medicare PECOS PAC ID | 0547521452 |
|---|---|
| Medicare Enrollment ID | O20210602002662 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588239040 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
219 Health Network, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4320 Fir St Unit 216, East Chicago, IN 46312 Phone: 219-392-7025 | |
Immanuel Family Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 915 W Chicago Ave, East Chicago, IN 46312 Phone: 219-397-6000 Fax: 219-397-6358 | |
219 Health Network Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1802 E Columbus Dr, East Chicago, IN 46312 Phone: 219-397-6916 Fax: 219-397-9313 | |
Healthlinc - East Chicago Harbor West Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2106 Broadway St, East Chicago, IN 46312 Phone: 219-413-5118 Fax: 219-200-5020 | |
Nwi Home Doctor Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3847 Euclid Ave, East Chicago, IN 46312 Phone: 219-949-7540 | |
219 Health Network Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 100 W Chicago Ave Ste F, East Chicago, IN 46312 Phone: 219-392-7016 | |
St Catherine Care Network Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 West Chicago Avenue, Suite F, East Chicago, IN 46312 Phone: 219-397-0193 Fax: 219-397-0657 |