| 219 Health Network, Inc. | |
|
9130 Columbia Ave Ste A Munster IN 46321-2932 | |
| (219) 554-4081 | |
| (219) 554-4088 |
| Full Name | 219 Health Network, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 9130 Columbia Ave Ste A, Munster, 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. 9130 Columbia Ave Ste A Munster IN 46321-2932 Ph: (219) 554-4081 |
| NPI Number | 1013581123 |
|---|---|
| Provider Enumeration Date | 05/14/2021 |
| Last Update Date | 08/16/2024 |
| Medicare PECOS PAC ID | 0547521452 |
|---|---|
| Medicare Enrollment ID | O20210608001552 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013581123 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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