219 Health Network, Inc.
NPI #1669104964 in Cedar Lake, Indiana
Provider Information
- NPI Number
- 1669104964
- Entity Type
- Organization
- Organization Name
- 219 Health Network, Inc.
- Primary Specialty
- Clinic/Center - Federally Qualified Health Center (FQHC)
- Enumeration Date
- Jun 27, 2022
- Last Updated
- Aug 16, 2024
Practice Location
- Address
- 13963 MORSE ST STE B
- City
- Cedar Lake
- State
- Indiana
- ZIP Code
- 46303-9639
- Phone
- (219) 374-5555
Authorized Official
- Name
- WILLIAM CORTES
- Title
- EXECUTIVE DIRECTOR
- Phone
- (219) 703-2585
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
| Internal Medicine |
| Nurse Practitioner - Family — Family |
| Clinic/Center - Federally Qualified Health Center (FQHC) — Federally Qualified Health Center (FQHC) |
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