219 HEALTH NETWORK INC
NPI 1366083776
Clinic/Center - Federally Qualified Health Center (FQHC) in East Chicago, IN

Active since October 07, 2019CLIA 15D0921047 · Waiver
2020 E COLUMBUS DR STE A, EAST CHICAGO, IN 46312(219) 397-8965(219) 397-9351 Get Directions Write a Review

NPPES record last updated: August 16, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 16, 2024, Oct 7, 2019 (2 updates tracked since 2019).

About 219 Health Network Inc NPPES

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

219 HEALTH NETWORK INC (NPI 1366083776) is a healthcare organization registered as a federally qualified health center (fqhc) in East Chicago, Indiana and active in the NPI registry since October 2019. The organization holds a CLIA Waiver certificate valid through October 16, 2026 and lists William Cortes, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1366083776
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business Name219 HEALTH NETWORK INC
Location Address2020 E COLUMBUS DR STE AEast Chicago, IN 46312-2830
Mailing Address100 W Chicago Ave Ste FEast Chicago, IN 46312-3261 · (219) 703-2583
Fax(219) 397-9351
Organization SubpartNo
Authorized OfficialWilliam CortesExecutive Director · (219) 703-2585
Enumeration DateOctober 7, 2019
Last NPPES UpdateAugust 16, 20242 updates tracked since enumeration
NPPES CertifiedAugust 16, 2024
NPI 1366083776 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
2020 E COLUMBUS DR STE A, 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 15D0921047

219 Health Network, Inc · East Chicago, IN
Active · expires Oct 16, 2026
CLIA Number15D0921047
Laboratory TypePhysician Office
Certificate Effective DateOctober 17, 2024
Certificate Expiration DateOctober 16, 2026
Laboratory DirectorJaime Ruiz-Montero
Laboratory Phone(219) 397-8965
Laboratory Location219 Health Network, Inc2020 E Columbus Dr, Ste A, East Chicago, IN 46312
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
2020 E COLUMBUS DR STE A
EAST CHICAGO, IN 46312

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 1366083776. It was assigned to this organization in the NPPES registry on October 7, 2019.

Where is 219 Health Network Inc located?

219 Health Network Inc is located at 2020 E Columbus Dr Ste A, East Chicago, IN 46312. The listed phone number is (219) 397-8965.

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 15D0921047) is associated with this NPI, valid through October 16, 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 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.