Northshore Health Centers, Inc. | |
2121 E Columbus Dr East Chicago IN 46312-3197 | |
(219) 763-8112 | |
(219) 764-5380 |
Full Name | Northshore Health Centers, Inc. |
---|---|
Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 2121 E Columbus Dr, East Chicago, 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: () - | Northshore Health Centers, Inc. 2121 E Columbus Dr East Chicago IN 46312-3197 Ph: (219) 763-8112 |
NPI Number | 1336992999 |
---|---|
Provider Enumeration Date | 04/11/2024 |
Last Update Date | 04/11/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1336992999 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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