| 219 Health Network Inc | |
|
1802 E Columbus Dr East Chicago IN 46312-2826 | |
| (219) 397-6916 | |
| (219) 397-9313 |
| Full Name | 219 Health Network Inc |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 1802 E Columbus Dr, East Chicago, Indiana |
| Authorized Official Name and Position | Ibrahim Mohammed Najamuddin (CEO) |
| Authorized Official Contact | 2197032585 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 219 Health Network Inc 100 W Chicago Ave Ste F East Chicago IN 46312-3261 Ph: (219) 392-7016 | 219 Health Network Inc 1802 E Columbus Dr East Chicago IN 46312-2826 Ph: (219) 397-6916 |
| NPI Number | 1053944058 |
|---|---|
| Provider Enumeration Date | 02/18/2020 |
| Last Update Date | 02/18/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053944058 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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219 Health Network, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4320 Fir St Unit 216, East Chicago, IN 46312 Phone: 219-392-7025 | |
Immanuel Family Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 915 W Chicago Ave, East Chicago, IN 46312 Phone: 219-397-6000 Fax: 219-397-6358 | |
Nwi Home Doctor Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3847 Euclid Ave, East Chicago, IN 46312 Phone: 219-949-7540 | |
219 Health Network Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 100 W Chicago Ave Ste F, East Chicago, IN 46312 Phone: 219-392-7016 | |
St Catherine Care Network Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 West Chicago Avenue, Suite F, East Chicago, IN 46312 Phone: 219-397-0193 Fax: 219-397-0657 | |
Elgin Surgicare Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 521 W Chicago Ave, East Chicago, IN 46312 Phone: 630-345-0834 |