NPI | 1609674241 |
---|---|
Doing Business As | 219 HEALTH NETWORK |
Entity Type | Organization |
Authorized Contact | WILLIAM CORTES Executive Director 219-703-2585 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology |
Enumeration Date | 2025-03-07 |
Last Update Date | 2025-05-20 |