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NORTHSHORE EDISON SENIOR HIGH SCHOOL
NPI 1972895647
Clinic/Center - Federally Qualified Health Center (FQHC) in Lake Station, IN

Active since May 12, 2011
3304 PARKSIDE AVE, LAKE STATION, IN 46405(219) 763-8112(219) 962-1860 Get Directions Write a Review

NPPES record last updated: September 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 22, 2020, Nov 28, 2017, Sep 11, 2017 (3 updates tracked since 2017).

About Northshore Edison Senior High School NPPES

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

NORTHSHORE EDISON SENIOR HIGH SCHOOL (NPI 1972895647) is a healthcare organization registered as a federally qualified health center (fqhc) in Lake Station, Indiana and active in the NPI registry since May 2011. The organization lists David Hall, Ceo, as its authorized official.

NPPES Registry Identity

NPI1972895647
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameNORTHSHORE HEALTH CENTERS, INC.
Location Address3304 PARKSIDE AVELake Station, IN 46405-1143
Mailing AddressPo Box 1430Portage, IN 46368-9230 · (219) 763-8112 · Fax (219) 764-5380
Phone(219) 763-8112
Fax(219) 962-1860
Organization SubpartNo
Authorized OfficialDavid HallCeo · (219) 763-8112
Enumeration DateMay 12, 2011
Last NPPES UpdateSeptember 22, 20203 updates tracked since enumeration
NPPES CertifiedSeptember 22, 2020
✔ NPI 1972895647 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedNurse PractitionerTaxonomy 363L00000X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
3304 PARKSIDE AVE, Lake Station, IN 46405
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Other Names 1

Doing Business AsNorthshore Edison Senior High School

Other Identifiers 3

Other191360IN · Medicare Part B Ptan
Other151874IN · Medicare Part A Ptan
Medicaid200331170FIN

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

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

MISS KARI PAYTON LAT, ATC
Specialist/Technologist (Athletic Trainer)
3304 PARKSIDE AVE
LAKE STATION, IN 46405
Lake County (219) 962-8531

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 1972895647. It was assigned to this organization in the NPPES registry on May 12, 2011. The provider is doing business as Northshore Edison Senior High School.

Where is Northshore Health Centers, Inc. located?

Northshore Health Centers, Inc. is located at 3304 Parkside Ave, Lake Station, IN 46405. 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 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 September 22, 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.