Organization
219 HEALTH NETWORK INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IBRAHIM MOHAMMED NAJAMUDDIN (DIRECTOR)
(219) 703-2585
Entity
Organization
Contact information
Practice address
3432 169TH ST, HAMMOND, IN 46323-2542
(219) 844-9060
Mailing address
100 W CHICAGO AVE STE F, EAST CHICAGO, IN 46312-3261
(219) 365-7620
(219) 226-2275
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
07/16/2019
Last updated
08/16/2024
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