| Northshore Health Centers, Inc. | |
|
2200 Grant St Gary IN 46404-3439 | |
| (219) 763-8112 | |
| Not Available |
| Full Name | Northshore Health Centers, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 2200 Grant St, Gary, 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: () - | Northshore Health Centers, Inc. 2200 Grant St Gary IN 46404-3439 Ph: (219) 763-8112 |
| NPI Number | 1932976495 |
|---|---|
| Provider Enumeration Date | 12/05/2023 |
| Last Update Date | 07/17/2024 |
| Medicare PECOS PAC ID | 5799671236 |
|---|---|
| Medicare Enrollment ID | O20240705000111 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932976495 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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