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NORTHSHORE HEALTH CENTERS NPI 1497996839


NPI Information

NPI: 1497996839
Provider Name: NORTHSHORE HEALTH CENTERS
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 15D1096642

Address:
2490 CENTRAL AVE
LAKE STATION, IN
ZIP 46405
Phone: (219) 962-2760
Get Directions

NORTHSHORE HEALTH CENTERS is a family medicine in Lake Station, IN. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. NORTHSHORE HEALTH CENTERS NPI is 1497996839. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2490 CENTRAL AVE
LAKE STATION, IN
ZIP 46405-122
Phone: (219) 962-2760
Fax: (219) 962-1863

The provider's authorized official is Janice Wilson .
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 15D1096642 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/16/2009 and was last updated on 3/16/2009.


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
1207V00000XObstetrics & GynecologyNo
2208000000XPediatricsNo
31041C0700XSocial WorkerClinicalNo
4207Q00000XFamily MedicineYes

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

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