Northshore Health Centers, Inc. | |
6050 Sterling Creek Rd. Mobile Unit Portage IN 46368 | |
(219) 763-8112 | |
Not Available |
Full Name | Northshore Health Centers, Inc. |
---|---|
Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 6050 Sterling Creek Rd., Portage, Indiana |
Authorized Official Name and Position | David Hall (CEO) |
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. 6050 Sterling Creek Rd. Mobile Unit Portage IN 46368 Ph: (219) 763-8112 |
NPI Number | 1831979194 |
---|---|
Provider Enumeration Date | 10/04/2023 |
Last Update Date | 10/04/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1831979194 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
363L00000X | Nurse Practitioner | (* (Not Available)) | Secondary |
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