219 HEALTH NETWORK, INC.
NPI 1003410085
Clinic/Center - Federally Qualified Health Center (FQHC) in East Chicago, IN

Active since November 30, 2020CLIA 15D2192144 · Waiver
4320 FIR ST UNIT 216, EAST CHICAGO, IN 46312(219) 392-7025 Get Directions Write a Review

NPPES record last updated: August 16, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 16, 2024, Nov 30, 2020 (2 updates tracked since 2020).

About 219 Health Network, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

219 HEALTH NETWORK, INC. (NPI 1003410085) is a healthcare organization registered as a federally qualified health center (fqhc) in East Chicago, Indiana and active in the NPI registry since November 2020. The organization holds a CLIA Waiver certificate valid through September 3, 2026 and lists William Cortes, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1003410085
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business Name219 HEALTH NETWORK, INC.
Location Address4320 FIR ST UNIT 216East Chicago, IN 46312-3076
Mailing Address4320 Fir St Unit 216East Chicago, IN 46312-3076
Organization SubpartNo
Authorized OfficialWilliam CortesExecutive Director · (219) 703-2585
Enumeration DateNovember 30, 2020
Last NPPES UpdateAugust 16, 20242 updates tracked since enumeration
NPPES CertifiedAugust 16, 2024
NPI 1003410085 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
4320 FIR ST UNIT 216, East Chicago, IN 46312

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 15D2192144

219 Health Network · East Chicago, IN
Active · expires Sep 3, 2026
CLIA Number15D2192144
Laboratory TypePhysician Office
Certificate Effective DateSeptember 4, 2024
Certificate Expiration DateSeptember 3, 2026
Laboratory DirectorAlfonso Blum
Laboratory Phone(219) 703-9629
Laboratory Location219 Health Network4320 Fir Street Suite 307, East Chicago, IN 46312
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is 219 Health Network, Inc.'s NPI number?

The NPI number for 219 Health Network, Inc. is 1003410085. It was assigned to this organization in the NPPES registry on November 30, 2020.

Where is 219 Health Network, Inc. located?

219 Health Network, Inc. is located at 4320 Fir St Unit 216, East Chicago, IN 46312. The listed phone number is (219) 392-7025.

What is 219 Health Network, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Does 219 Health Network, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 15D2192144) is associated with this NPI, valid through September 3, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does 219 Health Network, Inc. accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource list 219 Health Network, Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for 219 Health Network, Inc. was last updated on August 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.