Active NPI
219 Health Network Inc
- Federally Qualified Health Center (FQHC)
- East Chicago, IN
National Provider Identifier
1770045098
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Federally Qualified Health Center (FQHC)
- Legal business name
- 219 HEALTH NETWORK INC
- Practice address
- 525 W Chicago Ave
East Chicago, IN 46312-3206 - Phone
- (219) 397-1342
- Fax
- (219) 397-2580
- NPI assigned
- Apr 4, 2019
- Last updated
- Aug 16, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- William Cortes
- Title
- Executive Director
- Phone
- (219) 703-2585
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | NU | Primary |
Addresses
Primary practice location
525 W Chicago Ave
East Chicago, IN 46312-3206
Mailing address
100 W Chicago Ave Ste F
East Chicago, IN 46312-3261
Phone (219) 365-7620
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554336000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1723766400000",
"number": "1770045098",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 W CHICAGO AVE STE F",
"city": "EAST CHICAGO",
"state": "IN",
"postal_code": "463123261",
"telephone_number": "219-365-7620"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "525 W CHICAGO AVE",
"city": "EAST CHICAGO",
"state": "IN",
"postal_code": "463123206",
"telephone_number": "219-397-1342",
"fax_number": "219-397-2580"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "219 HEALTH NETWORK INC",
"organizational_subpart": "NO",
"enumeration_date": "2019-04-04",
"last_updated": "2024-08-16",
"certification_date": "2024-08-16",
"status": "A",
"authorized_official_last_name": "CORTES",
"authorized_official_first_name": "WILLIAM",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "219-703-2585"
},
"taxonomies": [
{
"code": "261QF0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in East Chicago, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.