219 Health Network Inc

Organization Active NPI Federally Qualified Health Center (FQHC) · East Chicago, IN

NPI 1053944058 · NPPES record last updated Aug 16, 2024

Key facts

NPI
1053944058
Entity type
Organization (NPI type 2)
Primary specialty
Federally Qualified Health Center (FQHC) 261QF0400X
Legal business name
219 HEALTH NETWORK INC
Practice address
1802 E Columbus Dr
East Chicago, IN 46312-2826
Phone
(219) 397-6916
Fax
(219) 397-9313
NPI assigned
Feb 18, 2020
Organization subpart
No

Authorized official

Name
Ibrahim Mohammed Najamuddin
Title
Director
Phone
(219) 703-2585

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Yes

Addresses

Primary practice location

1802 E Columbus Dr
East Chicago, IN 46312-2826

Mailing address

100 W Chicago Ave Ste F
East Chicago, IN 46312-3261
Phone (219) 392-7016

Other providers in East Chicago, IN

All providers in East Chicago, IN · Federally Qualified Health Center (FQHC) in Indiana

Sources for this page

Verify at the official NPI Registry.