NORTHSHORE HEALTH CENTERS INC. NPI 1639742224

NPI Information

NPI: 1639742224
Provider Name: NORTHSHORE HEALTH CENTERS, INC.
Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
602 F STREET
RM G.15
LAPORTE, IN
ZIP 46350
Phone: (219) 763-8112
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NORTHSHORE HEALTH CENTERS, INC. is a federally qualified health center (fqhc) clinic center in Laporte, IN. NORTHSHORE HEALTH CENTERS, INC. NPI is 1639742224. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

602 F STREET
RM G.15
LAPORTE, IN
ZIP 46350-526
Phone: (219) 763-8112
Fax: (219) 764-5380

The provider's authorized official is David Hall .
The authorized official title is Ceo and has the following contact phone number (219) 763-8112.

The enumeration date for this NPI number is 7/21/2021 and was last updated on 7/21/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	207Q00000X	Family Medicine		No
2	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)	Yes
3	261QM1300X	Clinic/Center	Multi-Specialty	No
4	363LF0000X	Nurse Practitioner	Family	No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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