Northshore Health Centers, Inc.
LBN: Northshore Health Centers, Inc.
Northshore Health Centers, Inc. is an health care organization with primary practice located at 3099 Central Ave , Lake Station IN 46405-2207. The organization recently has 4 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Dental Hygienist, Allopathic & Osteopathic Physicians / Body Imaging, Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC). Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) is the primary health care specialty.
Northshore Health Centers, Inc. can be contacted via phone (219) 763-8112, or through Hall, David via phone (219) 763-8112.
Contact Information
Primary practice address
3099 Central Ave
Lake Station IN 46405-2207
Phone: (219) 763-8112
Fax: (219) 962-1189
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | ||
| Dental Providers / Dental Hygienist | 124Q00000X | ||
| Allopathic & Osteopathic Physicians / Body Imaging | 2085B0100X | ||
| Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) | 261QF0400X |
Profile Details
| NPI number | 1356530505 |
|---|---|
| LBN Legal business name | Northshore Health Centers, Inc. |
| DBA Doing business as | |
| Authorized official | Hall, David |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 23rd, 2007 |
| Last updated | Sep 22nd, 2020 - about 4 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1356530505 | NPPES |
| Indiana | Other | 151869 | MEDICARE PART A PTAN |
| Indiana | Other | 191360 | MEDICARE PART A PTAN |
| Indiana | MEDICAID | 200331170C | MEDICARE PART A PTAN |
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