219 HEALTH NETWORK, INC. – NPI #1811562374
Clinic/Center

219 HEALTH NETWORK, INC. is an AHC clinic located in EAST CHICAGO, IN. NPPES has assigned the NPI number 1811562374 to 219 HEALTH NETWORK, INC. on May 26, 2021. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QF0400X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Federally Qualified Health Center (FQHC)

The NPI profile was last updated on Aug 16, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for 219 HEALTH NETWORK, INC. below.

NPI Profile for
219 HEALTH NETWORK, INC.

NPI Number
1811562374
Enumeration Date

(more than 5 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
219 HEALTH NETWORK, INC.
Primary location
4320 FIR ST UNIT 408
EAST CHICAGO, IN 46312-3078
Phone: (219) 554-4081 Fax: (219) 554-4088
Mailing address
100 W CHICAGO AVE STE F
EAST CHICAGO, IN 46312-3261
Phone: (219) 392-7016 Fax: (219) 397-6904
Organization Subpart
No
Authorized Official
WILLIAM CORTES
EXECUTIVE DIRECTOR
Phone: (219) 703-2585
Updated
Certification Date
Aug 16, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QF0400X
- Clinic/Center / Federally Qualified Health Center (FQHC) (Primary)
207R00000X
- Internal Medicine

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.