| Northshore Chesterton Health Center | |
|
801 Broadway Chesterton IN 46304-2230 | |
| (219) 763-8112 | |
| (219) 763-8937 |
| Full Name | Northshore Chesterton Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 801 Broadway, Chesterton, 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 Chesterton Health Center Po Box 1430 Portage IN 46368-9230 Ph: (219) 763-8112 | Northshore Chesterton Health Center 801 Broadway Chesterton IN 46304-2230 Ph: (219) 763-8112 |
| NPI Number | 1568856045 |
|---|---|
| Provider Enumeration Date | 03/24/2015 |
| Last Update Date | 08/01/2022 |
| Certification Date | 08/01/2022 |
| Medicare PECOS PAC ID | 5799671236 |
|---|---|
| Medicare Enrollment ID | O20150615000552 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568856045 | NPI | - | NPPES |
| 151946 | Other | IN | MEDICARE PART A PTAN |
| 191360 | Other | IN | MEDICARE PART B PTAN |
| 200331170J | Medicaid | IN |
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