Organization
219 HEALTH NETWORK, INC.
Active
Other names
219 Health Network
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM CORTES (EXECUTIVE DIRECTOR)
(219) 703-2585
Entity
Organization
Contact information
Practice address
3145 45TH ST STE M, HIGHLAND, IN 46322-3292
(219) 440-5353
(219) 440-5354
Mailing address
8558 BROADWAY, MERRILLVILLE, IN 46410-7032
(219) 392-7084
(219) 703-6854
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
07/11/2024
Last updated
07/11/2024
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