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
Fax: (219) 962-1189
Website:
Authorized official contact:
Name: Hall, David

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.

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Identifiers

StateTypeNumberIssuer
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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