219 HEALTH NETWORK INC. NPI 1578235735

NPI Information

NPI: 1578235735
Provider Name: 219 HEALTH NETWORK, INC.
Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
1400 S LAKE PARK AVE STE 407
HOBART, IN
ZIP 46342
Phone: (219) 392-7025
Get Directions

219 HEALTH NETWORK, INC. is a federally qualified health center (fqhc) clinic center in Hobart, IN. 219 HEALTH NETWORK, INC. NPI is 1578235735. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1400 S LAKE PARK AVE STE 407
HOBART, IN
ZIP 46342-791
Phone: (219) 392-7025
Fax: (219) 392-7026

The provider's authorized official is Patricia Johnson .
The authorized official title is Chief Executive Officer and has the following contact phone number (219) 703-2585.

The enumeration date for this NPI number is 10/5/2021 and was last updated on 10/5/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	2084P0800X	Psychiatry & Neurology	Psychiatry	No
2	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	No
3	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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