| 219 Health Network Inc | |
|
1516 119th St Whiting IN 46394-1733 | |
| (219) 703-2550 | |
| Not Available |
| Full Name | 219 Health Network Inc |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 1516 119th St, Whiting, 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 1516 119th St Whiting IN 46394-1733 Ph: (219) 703-2550 |
| NPI Number | 1275166860 |
|---|---|
| Provider Enumeration Date | 02/21/2020 |
| Last Update Date | 02/21/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275166860 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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› Verified 3 days ago
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