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MERRILLVILLE HEALTH CENTER
NPI 1477810315
Clinic/Center - Federally Qualified Health Center (FQHC) in Merrillville, IN

Active since April 17, 2012
6091 BROADWAY, MERRILLVILLE, IN 46410(219) 763-8112(219) 884-2547 Get Directions Write a Review

NPPES record last updated: November 12, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 12, 2020, Sep 22, 2020, Nov 29, 2017 and 1 more (4 updates tracked since 2017).

About Merrillville Health Center NPPES

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

MERRILLVILLE HEALTH CENTER (NPI 1477810315) is a healthcare organization registered as a federally qualified health center (fqhc) in Merrillville, Indiana and active in the NPI registry since April 2012. The organization lists David Hall, Ceo, as its authorized official.

NPPES Registry Identity

NPI1477810315
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) 763-8112
Fax(219) 884-2547
Organization SubpartNo
Authorized OfficialDavid HallCeo · (219) 763-8112
Enumeration DateApril 17, 2012
Last NPPES UpdateNovember 12, 20204 updates tracked since enumeration
NPPES CertifiedNovember 12, 2020
✔ NPI 1477810315 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 10

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X
Also ListedDentist · General PracticeTaxonomy 1223G0001X
Also ListedDental HygienistTaxonomy 124Q00000X
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedObstetrics & GynecologyTaxonomy 207V00000X
Also ListedPediatricsTaxonomy 208000000X
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X
Also ListedPsychiatry & Neurology · Child & Adolescent PsychiatryTaxonomy 2084P0804X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
6091 BROADWAY, Merrillville, IN 46410
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Other Names 1

Doing Business AsMerrillville Health Center

Other Identifiers 3

Other191360IN · Medicare Part B Ptan
Medicaid200331170GIN
Other151880IN · Medicare Part A Ptan

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

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.

NORTHSHORE HEALTH CENTERS, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
6091 BROADWAY
MERRILLVILLE, IN 46410
Lake County (219) 763-8944
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
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 1477810315. It was assigned to this organization in the NPPES registry on April 17, 2012. The provider is doing business as Merrillville Health Center.

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) 763-8112.

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.

What insurance does Northshore Health Centers, Inc. accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 1 other insurer 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 November 12, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.