Northshore Health Centers, INC.
Clinic/Center, Federally Qualified Health Center (FQHC) in Crown Point, IN. Organization (NPI-2).
NPI number1629649751
StatusActive
Last updated in NPPESJul 9, 2021
Details
- NPI
- 1629649751
- Entity type
- Organization (NPI-2)
- Legal business name
- Northshore Health Centers, INC.
- Organization subpart
- No
- Enumeration date
- Jul 9, 2021
- Certification date
- Jul 9, 2021
- Last updated
- Jul 9, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QF0400X | Clinic/Center, Federally Qualified Health Center (FQHC) | – | – | Yes |
| 207Q00000X | Family Medicine | – | – | |
| 363LF0000X | Nurse Practitioner, Family | – | – | |
| 261QM1300X | Clinic/Center, Multi-Specialty | – | – |
Other names
- Northshore Crown Point Health Center (Doing Business As)
Practice location
10851 BroadwayClinic Suite, North Of Main Entrance
Crown Point, IN 46307-7303
Phone 219-763-8112 · Fax 219-764-5380
Mailing address
Po Box 1430Portage, IN 46368-9230
Phone 219-763-8112 · Fax 219-764-5380
Authorized official
David Hall
Ceo
2197638112
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Other Federally Qualified Health Center (FQHC) providers in Crown Point, IN
- 219 Health Network, INC.NPI 1134802135
- 219 Health Network, INC.NPI 1659966398
- 219 Health Network, INC.NPI 1942124409
- Northshore Health Centers, INC.NPI 1609562370
All 5 Federally Qualified Health Center (FQHC) providers in Crown Point · All 1,805 providers in Crown Point
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