| 219 Health Network, Inc. | |
|
10215 Broadway Crown Point IN 46307-8001 | |
| (219) 661-6152 | |
| (219) 703-6833 |
| Full Name | 219 Health Network, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 10215 Broadway, Crown Point, Indiana |
| Authorized Official Name and Position | Patricia A Johnson (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 2197032585 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| 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. 10215 Broadway Crown Point IN 46307-8001 Ph: (219) 661-6152 |
| NPI Number | 1134802135 |
|---|---|
| Provider Enumeration Date | 08/08/2023 |
| Last Update Date | 02/27/2024 |
| Medicare PECOS PAC ID | 0547521452 |
|---|---|
| Medicare Enrollment ID | O20240116003522 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134802135 | NPI | - | NPPES |
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