NPI Code Detail JSON Logo

1609674241 NPI number — 219 HEALTH NETWORK, INC.

NPI Number: 1609674241
Health Care Provider/Practitioner: 219 HEALTH NETWORK, INC.

Information about “1609674241” NPI (219 HEALTH NETWORK, INC.) exists in 1609674241 in HTML format HTML  |  1609674241 in plain Text format TXT  |  1609674241 in PDF (Portable Document Format) PDF  |  1609674241 in an XML format XML  formats.

NPI Number : 1609674241 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1609674241",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "219 HEALTH NETWORK, INC.",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": "6",
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "100 W CHICAGO AVE STE F",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "EAST CHICAGO",
    "MailingAddressStateName": "IN",
    "MailingAddressPostalCode": "46312-3261",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "219-392-7016",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1545 W US HIGHWAY 30 STE 1A",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SCHERERVILLE",
    "PracticeLocationAddressStateName": "IN",
    "PracticeLocationAddressPostalCode": "46375-1562",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "219-595-0410",
    "PracticeLocationAddressFaxNumber": "219-513-9824",
    "EnumerationDate": "03/07/2025",
    "LastUpdateDate": "05/20/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "CORTES",
    "AuthorizedOfficialFirstName": "WILLIAM",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "EXECUTIVE DIRECTOR",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "219-703-2585",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "207V00000X",
          "TaxonomyName": "Obstetrics & Gynecology Physician",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "261QF0400X",
          "TaxonomyName": "Federally Qualified Health Center (FQHC)",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.