Merrillville Health Center

LBN: Northshore Health Centers, Inc.
Merrillville Health Center is an health care organization with primary practice located at 6091 Broadway , Merrillville IN 46410-2619. The organization recently has 10 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Dental Providers / General Practice, Dental Providers / Dental Hygienist, Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), Physician Assistants & Advanced Practice Nursing Providers / Family. 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
6091 Broadway Merrillville IN 46410-2619
Phone: (219) 763-8112
Fax: (219) 884-2547
Website:
Map and Directions
Authorized official contact:
Name: Hall, David
Phone: (219) 763-8112

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X
Dental Providers / General Practice 1223G0001X
Dental Providers / Dental Hygienist 124Q00000X
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X
Allopathic & Osteopathic Physicians / Pediatrics 208000000X
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X

Profile Details

NPI number 1477810315
LBN Legal business name Northshore Health Centers, Inc.
DBA Doing business as Merrillville Health Center
Authorized official Hall, David
Entity Organization
Organization subpart 1 No
Enumeration date Apr 17th, 2012
Last updated Nov 12th, 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 1477810315 NPPES
Indiana MEDICAID 200331170G
Indiana Other 151880
Indiana Other 191360

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