| Northshore Health Centers, Inc. | |
|
310 W 112th Ave Crown Point IN 46307 | |
| (219) 763-8113 | |
| Not Available |
| Full Name | Northshore Health Centers, Inc. |
|---|---|
| Speciality | Pharmacy |
| Location | 310 W 112th Ave, Crown Point, Indiana |
| Authorized Official Name and Position | Rhona Gilliam (CONTRACTING SPECIALIST) |
| Authorized Official Contact | 2197638112 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northshore Health Centers, Inc. Po Box 1430 Portage IN 46368-9230 Ph: (219) 763-8112 | Northshore Health Centers, Inc. 310 W 112th Ave Crown Point IN 46307 Ph: (219) 763-8113 |
| NPI Number | 1265297618 |
|---|---|
| Provider Enumeration Date | 02/15/2024 |
| Last Update Date | 02/15/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265297618 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Secondary |
| 333600000X | Pharmacy | (* (Not Available)) | Primary |
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