1. Home
  2. Directory
  3. Indiana
  4. Lake Station
  5. Clinic Center
  6. NPI Profile

NORTHSHORE HEALTH CENTERS, INC.
NPI 1497995815
Clinic/Center - Federally Qualified Health Center (FQHC) in Lake Station, IN

Active since February 25, 2009CLIA 15D2175428 · Waiver
2490 CENTRAL AVE STE B, LAKE STATION, IN 46405(219) 962-5909(219) 962-5981 Get Directions Write a Review

NPPES record last updated: September 22, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Northshore Health Centers, Inc. NPPES

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

NORTHSHORE HEALTH CENTERS, INC. (NPI 1497995815) is a healthcare organization registered as a federally qualified health center (fqhc) in Lake Station, Indiana and active in the NPI registry since February 2009. The organization holds a CLIA Waiver certificate valid through November 19, 2027 and lists David Hall, Ceo, as its authorized official.

NPPES Registry Identity

NPI1497995815
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameNORTHSHORE HEALTH CENTERS, INC.
Location Address2490 CENTRAL AVE STE BLake Station, IN 46405-2122
Mailing AddressPo Box 1430Portage, IN 46368-9230 · (219) 763-8112 · Fax (219) 764-5380
Phone(219) 962-5909
Fax(219) 962-5981
Organization SubpartYes
Authorized OfficialDavid HallCeo · (219) 763-8112
Enumeration DateFebruary 25, 2009
Last NPPES UpdateSeptember 22, 2020
NPPES CertifiedSeptember 22, 2020
✔ NPI 1497995815 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
2490 CENTRAL AVE STE B, Lake Station, IN 46405
Open in Google Maps ↗

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 15D2175428

Northshore Health Center - La Porte Site · La Porte, IN
Active · expires Nov 19, 2027
CLIA Number15D2175428
Laboratory TypePhysician Office
Certificate Effective DateNovember 20, 2025
Certificate Expiration DateNovember 19, 2027
Laboratory DirectorAndi Arnautovic
Laboratory Phone(219) 763-8112
Laboratory LocationNorthshore Health Center - La Porte Site504 Legacy Plaza W, La Porte, IN 46350
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions

What is NORTHSHORE HEALTH CENTERS, INC.'s NPI number?

The NPI number assigned to this healthcare provider is 1497995815, enumerated as an "organization" on February 25, 2009.

Where is the provider located?

The provider is located at 2490 CENTRAL AVE STE B LAKE STATION, IN 46405 and the phone number is (219) 962-5909.

What is the provider's specialty?

Clinic/Center with taxonomy code 261QF0400X and a focus in Federally Qualified Health Center (FQHC).

What insurance does NORTHSHORE HEALTH CENTERS, INC. accept?

The provider might be accepting Accepts: Alliant Health Plans, Inc., Ambetter from Absolute. Please consult your insurance carrier or call the provider to verify.