| Northshore Health Centers, Inc. | |
|
3099 Central Ave Lake Station IN 46405-2207 | |
| (219) 763-8112 | |
| (219) 962-1189 |
| Full Name | Northshore Health Centers, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 3099 Central Ave, Lake Station, Indiana |
| Authorized Official Name and Position | David Hall (CEO) |
| Authorized Official Contact | 2197638112 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Northshore Health Centers, Inc. Po Box 1430 Portage IN 46368-9230 Ph: (219) 763-8112 | Northshore Health Centers, Inc. 3099 Central Ave Lake Station IN 46405-2207 Ph: (219) 763-8112 |
| NPI Number | 1356530505 |
|---|---|
| Provider Enumeration Date | 10/23/2007 |
| Last Update Date | 09/22/2020 |
| Medicare PECOS PAC ID | 5799671236 |
|---|---|
| Medicare Enrollment ID | O20110504000296 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356530505 | NPI | - | NPPES |
| 151869 | Other | IN | MEDICARE PART A PTAN |
| 191360 | Other | IN | MEDICARE PART B PTAN |
| 200331170C | Medicaid | IN |
Henry K Pong, Dds, Psc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3820 Central Ave, Lake Station, IN 46405 Phone: 219-962-8666 | |
Secure Dental Iii Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3820 Central Ave # 2324, Lake Station, IN 46405 Phone: 219-962-8666 | |
Reliable Denture Center Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2370 E 37th Ave, Lake Station, IN 46405 Phone: 219-962-3000 Fax: 219-962-9371 | |
Nikki A Wargo Dds Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2370 E 37th Ave, Lake Station, IN 46405 Phone: 219-962-3000 Fax: 219-962-9571 |