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NPI Verification

National Provider Identifier: 1669104964

219 Health Network, Inc.

Organization

Primary Specialty

Clinic/Center, Federally Qualified Health Center (FQHC)

Code: 261QF0400X

All Specialties (4)

Family Medicine

Code: 207Q00000X

Internal Medicine

Code: 207R00000X

Clinic/Center, Federally Qualified Health Center (FQHC)

Code: 261QF0400X

Primary

Nurse Practitioner, Family

Code: 363LF0000X

Practice Address

13963 MORSE ST STE B

CEDAR LAKE, IN 463039639

Phone: 219-374-5555

NPI Enumeration Date

June 27, 2022

NPI Number

1669104964

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