Northshore Health Centers, INC.
Clinic/Center, Federally Qualified Health Center (FQHC) in Merrillville, IN. Organization (NPI-2).
Details
- NPI
- 1053905976
- Entity type
- Organization (NPI-2)
- Legal business name
- Northshore Health Centers, INC.
- Organization subpart
- Yes
- Enumeration date
- Feb 22, 2021
- Certification date
- Mar 4, 2022
- Last updated
- Mar 4, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QF0400X | Clinic/Center, Federally Qualified Health Center (FQHC) | – | – | Yes |
| 3336C0002X | Pharmacy, Clinic Pharmacy | – | – |
Other names
- Northshore Merrillville Pharmacy (Doing Business As)
Practice location
6091 BroadwayMerrillville, IN 46410-2619
Phone 219-763-8944 · Fax 219-764-5395
Mailing address
Po Box 1430Portage, IN 46368-9230
Phone 219-763-8112 · Fax 219-764-5380
Authorized official
David Hall
Ceo
2197638112
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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