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NORTHSHORE MERRILLVILLE PHARMACY
NPI 1053905976
Clinic/Center - Federally Qualified Health Center (FQHC) in Merrillville, IN

Active since February 22, 2021CLIA 15D2048127 · Waiver
6091 BROADWAY, MERRILLVILLE, IN 46410(219) 763-8944(219) 764-5395 Get Directions Write a Review

NPPES record last updated: March 4, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 4, 2022, Feb 22, 2021 (2 updates tracked since 2021).

About Northshore Merrillville Pharmacy NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NORTHSHORE MERRILLVILLE PHARMACY (NPI 1053905976) is a healthcare organization registered as a federally qualified health center (fqhc) in Merrillville, Indiana and active in the NPI registry since February 2021. The organization holds a CLIA Waiver certificate valid through February 22, 2027 and lists David Hall, Ceo, as its authorized official.

NPPES Registry Identity

NPI1053905976
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameNORTHSHORE HEALTH CENTERS, INC.
Location Address6091 BROADWAYMerrillville, IN 46410-2619
Mailing AddressPo Box 1430Portage, IN 46368-9230 · (219) 763-8112 · Fax (219) 764-5380
Phone(219) 763-8944
Fax(219) 764-5395
Organization SubpartYesParent: Northshore Health Centers, Inc
Authorized OfficialDavid HallCeo · (219) 763-8112
Enumeration DateFebruary 22, 2021
Last NPPES UpdateMarch 4, 20222 updates tracked since enumeration
NPPES CertifiedMarch 4, 2022
✔ NPI 1053905976 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
Also ListedPharmacy · Clinic PharmacyTaxonomy 3336C0002X
6091 BROADWAY, Merrillville, IN 46410
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Other Names 1

Doing Business AsNorthshore Merrillville Pharmacy

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 15D2048127

Northshore Health Centers-Merrillville · Merrillville, IN
Active · expires Feb 22, 2027
CLIA Number15D2048127
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateFebruary 23, 2025
Certificate Expiration DateFebruary 22, 2027
Laboratory DirectorDr. Leonard Ostrowski
Laboratory Phone(219) 427-0213
Laboratory LocationNorthshore Health Centers-Merrillville6091 Broadway, Merrillville, IN 46410
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

FAIQA MOHYUDDIN M.D.
Pediatrics
6091 BROADWAY
MERRILLVILLE, IN 46410
Lake County (219) 763-8112
DR. RAVI KUMAR VIJAY PATEL D.D.S.
Dentist
6091 BROADWAY
MERRILLVILLE, IN 46410
Lake County (219) 763-8112
MRS. LEAH MICHELLE JOHNSON-WILLIAMS NP-C
Nurse Practitioner (Family)
6091 BROADWAY
MERRILLVILLE, IN 46410
Lake County (219) 763-8112
NORTHSHORE HEALTH CENTERS, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
6091 BROADWAY
MERRILLVILLE, IN 46410
Lake County (219) 763-8112
EMILIA J BLASER DDS
Dentist
6091 BROADWAY
MERRILLVILLE, IN 46410
Lake County (219) 763-8112
DR. MATTHEW JASON TIPTON M.D.
Obstetrics & Gynecology
6091 BROADWAY
MERRILLVILLE, IN 46410
Lake County (219) 763-8112
MS. MADHUMITA BHOJRAJ MD
Family Medicine
6091 BROADWAY
MERRILLVILLE, IN 46410
Lake County (219) 763-8112
SARAH K BEAHAM APRN
Nurse Practitioner (Family)
6091 BROADWAY
MERRILLVILLE, IN 46410
Lake County (219) 763-8112

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Northshore Health Centers, Inc.'s NPI number?

The NPI number for Northshore Health Centers, Inc. is 1053905976. It was assigned to this organization in the NPPES registry on February 22, 2021. The provider is doing business as Northshore Merrillville Pharmacy.

Where is Northshore Health Centers, Inc. located?

Northshore Health Centers, Inc. is located at 6091 Broadway, Merrillville, IN 46410. The listed phone number is (219) 763-8944.

What is Northshore Health Centers, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Does Northshore Health Centers, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 15D2048127) is associated with this NPI, valid through February 22, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Northshore Health Centers, Inc. accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 45 other insurers list Northshore Health Centers, Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Northshore Health Centers, Inc. was last updated on March 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.