Northshore Health Centers, INC

NPI #1790442044 in Demotte, Indiana

Provider Information

NPI Number: 1790442044
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: Nov 22, 2021
Last Updated: Nov 22, 2021

Practice Location

Address: 200 3RD CT SE
City: Demotte
State: Indiana
ZIP Code: 46310-7400
Phone: (219) 763-8112

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacy	333600000X
Clinic/Center - Federally Qualified Health Center (FQHC) — Federally Qualified Health Center (FQHC)	261QF0400X	Primary

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