NORTHSHORE HEALTH CENTERS, INC. - NPI 1861636664 - Clinic/Center in Lake Station, IN

Q: What is the provider's specialty?

The provider's specialty is Clinic/Center with taxonomy code 261QF0400X and a focus in Federally Qualified Health Center (FQHC).

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About Northshore Health Centers, Inc. NPPES

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

NORTHSHORE HEALTH CENTERS, INC. (NPI 1861636664) is a healthcare organization registered as a federally qualified health center (fqhc) in Lake Station, Indiana and active in the NPI registry since April 2009. The organization lists David Hall, Ceo, as its authorized official.

NPPES Registry Identity

NPI1861636664

Entity TypeOrganization

Primary Taxonomy261QF0400X

Legal Business NameNORTHSHORE HEALTH CENTERS, INC.

Location Address2490 CENTRAL AVELake Station, IN 46405-2122

Mailing AddressPo Box 1430Portage, IN 46368-9230 · (219) 763-8112 · Fax (219) 764-5380

Phone(219) 763-8112

Fax(219) 962-1580

Organization SubpartNo

Authorized OfficialDavid HallCeo · (219) 763-8112

Enumeration DateApril 23, 2009

Last NPPES UpdateNovember 12, 20204 updates tracked since enumeration

NPPES CertifiedNovember 12, 2020

✔ NPI 1861636664 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 15

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities

Taxonomy Code261QF0400X

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X

Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X

Also ListedOptometristTaxonomy 152W00000X

Also ListedFamily MedicineTaxonomy 207Q00000X

Also ListedObstetrics & GynecologyTaxonomy 207V00000X

Also ListedPediatricsTaxonomy 208000000X

Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X

Also ListedPsychiatry & Neurology · Child & Adolescent PsychiatryTaxonomy 2084P0804X

Also ListedRadiology · Diagnostic RadiologyTaxonomy 2085R0202X

Also ListedRadiology · Diagnostic UltrasoundTaxonomy 2085U0001X

Also ListedNurse PractitionerTaxonomy 363L00000X

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X

Also ListedNurse Practitioner · Women's HealthTaxonomy 363LW0102X

Also ListedAdvanced Practice MidwifeTaxonomy 367A00000X

2490 CENTRAL AVE, Lake Station, IN 46405

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Other Identifiers 3

Other191360IN · Medicare Part B Ptan

Other151846IN · Medicare Part A Ptan

Medicaid200331170DIN

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 ›