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NPI Verification

National Provider Identifier: 1164105110

219 Health Network, Inc.

Organization

Primary Specialty

Clinic/Center, Federally Qualified Health Center (FQHC)

Code: 261QF0400X

All Specialties (3)

Family Medicine

Code: 207Q00000X

Clinic/Center, Federally Qualified Health Center (FQHC)

Code: 261QF0400X

Primary

Nurse Practitioner, Family

Code: 363LF0000X

Practice Address

3100 45TH ST

STE 4

HIGHLAND, IN 463223289

Phone: 219-922-6911

NPI Enumeration Date

August 8, 2023

NPI Number

1164105110

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry