| 219 Health Network Inc | |
|
3432 169th St Hammond IN 46323-2542 | |
| (219) 844-9060 | |
| Not Available |
| Full Name | 219 Health Network Inc |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 3432 169th St, Hammond, Indiana |
| Authorized Official Name and Position | Ibrahim Mohammed Najamuddin (DIRECTOR) |
| Authorized Official Contact | 2197032585 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 219 Health Network Inc 100 W Chicago Ave Ste F East Chicago IN 46312-3261 Ph: (219) 365-7620 | 219 Health Network Inc 3432 169th St Hammond IN 46323-2542 Ph: (219) 844-9060 |
| NPI Number | 1053963330 |
|---|---|
| Provider Enumeration Date | 07/16/2019 |
| Last Update Date | 08/16/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053963330 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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