Northshore Health Centers, Inc. is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Lake Station, Indiana. The current practice location for Northshore Health Centers, Inc. is 3304 Parkside Ave, Lake Station, Indiana. For appointments, you can reach them via phone at
(219) 763-8112. The mailing address for Northshore Health Centers, Inc. is Po Box 1430, Portage, Indiana and phone number is (219) 763-8112.
Northshore Health Centers, Inc. is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its
NPI number is 1972895647. This medical practice
accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at
(219) 763-8112.
Primary Care Clinic Profile
| Full Name | Northshore Health Centers, Inc. |
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| Speciality | Clinic/Center |
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| Location | 3304 Parkside Ave, Lake Station, Indiana |
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| Authorized Official Name and Position | David Hall (CEO) |
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| Authorized Official Contact | 2197638112 |
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| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
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Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Northshore Health Centers, Inc.
Po Box 1430
Portage
IN 46368-9230
Ph: (219) 763-8112 | Northshore Health Centers, Inc.
3304 Parkside Ave
Lake Station
IN 46405-1143
Ph: (219) 763-8112 |
NPI Details:
| NPI Number | 1972895647 |
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| Provider Enumeration Date | 05/12/2011 |
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| Last Update Date | 09/22/2020 |
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Medicare PECOS Information:
| Medicare PECOS PAC ID | 5799671236 |
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| Medicare Enrollment ID | O20110817000200 |
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Medical Identifiers
Medical identifiers for Northshore Health Centers, Inc. such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1972895647 | NPI | - | NPPES |
| 191360 | Other | IN | MEDICARE PART B PTAN |
| 151874 | Other | IN | MEDICARE PART A PTAN |
| 200331170F | Medicaid | IN | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 363L00000X | Nurse Practitioner | (* (Not Available)) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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