NORTHSHORE HEALTH CENTERS INC. NPI 1154097426

NPI Information

NPI: 1154097426
Provider Name: NORTHSHORE HEALTH CENTERS, INC.
Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

CLIA Number: 15D2070327

Address:
504 LEGACY PLZ W
LA PORTE, 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 La Porte, IN. NORTHSHORE HEALTH CENTERS, INC. NPI is 1154097426. The provider is registered as an organization entity type.

The provider's business location address is:

504 LEGACY PLZ W
LA PORTE, IN
ZIP 46350-254
Phone: (219) 763-8112
Fax: (219) 764-5333

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 CLIA number assigned to this NPI record is 15D2070327 - federally qualified health center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/18/2021 and was last updated on 8/18/2021.

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	License Number	License State	Primary
1	333600000X	Pharmacy				No
2	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)			Yes

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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