Northshore Health Centers, Inc.

NPI #1154097426 in La Porte, Indiana

Provider Information

NPI Number
1154097426
Entity Type
Organization
Organization Name
Northshore Health Centers, Inc.
Subpart
Yes (part of a larger organization)
Parent Organization
NORTHSHORE HEALTH CENTERS, INC.
Primary Specialty
Clinic/Center - Federally Qualified Health Center (FQHC)
Enumeration Date
Aug 18, 2021
Last Updated
Aug 18, 2021

Practice Location

Address
504 LEGACY PLZ W
State
Indiana
ZIP Code
46350-5254
Phone
(219) 763-8112

Authorized Official

Name
DAVID HALL
Title
CEO
Phone
(219) 763-8112

Specialties & Taxonomy Codes

Specialty
Pharmacy
Clinic/Center - Federally Qualified Health Center (FQHC)Federally Qualified Health Center (FQHC)

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