Healthcare Provider Details

I. General information

NPI: 1659966398
Provider Name (Legal Business Name): 219 HEALTH NETWORK, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/04/2021
Last Update Date: 08/16/2024
Certification Date: 08/16/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6625 W LINCOLN HWY STE 2
CROWN POINT IN
46307-6611
US

IV. Provider business mailing address

100 W CHICAGO AVE STE F
EAST CHICAGO IN
46312-3261
US

V. Phone/Fax

Practice location:
  • Phone: 219-440-5353
  • Fax: 219-440-5354
Mailing address:
  • Phone: 219-392-7016
  • Fax: 219-397-6904

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QF0400X
TaxonomyFederally Qualified Health Center (FQHC)
License Number
License Number State

VIII. Authorized Official

Name: WILLIAM CORTES
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 219-703-2585