| NPI | 1639916190 |
|---|---|
| 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 | 208000000X Pediatrics |
| Enumeration Date | 2024-07-11 |
| Last Update Date | 2024-07-11 |