| Northshore Health Centers, Inc | |
|
200 3rd Ct Se Demotte IN 46310-7400 | |
| (219) 763-8112 | |
| (219) 764-5333 |
| Full Name | Northshore Health Centers, Inc |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 200 3rd Ct Se, Demotte, Indiana |
| Authorized Official Name and Position | David Hall (CEO) |
| Authorized Official Contact | 2197638112 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northshore Health Centers, Inc Po Box 1430 Portage IN 46368-9230 Ph: (219) 763-8112 | Northshore Health Centers, Inc 200 3rd Ct Se Demotte IN 46310-7400 Ph: (219) 763-8112 |
| NPI Number | 1790442044 |
|---|---|
| Provider Enumeration Date | 11/22/2021 |
| Last Update Date | 11/22/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790442044 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
| 333600000X | Pharmacy | (* (Not Available)) | Secondary |
Northshore Health Centers, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 200 3rd Ct Se, Demotte, IN 46310 Phone: 219-763-8112 | |
Connection Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1317 15th St. Se, Demotte, IN 46310 Phone: 219-987-4280 | |
Demotte Physicians Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 520 8th Ave Ne, Demotte, IN 46310 Phone: 219-987-3581 Fax: 219-987-7137 | |
Leestma Medical Clinic, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 519 N Halleck St, Demotte, IN 46310 Phone: 219-987-7750 Fax: 219-987-5750 | |
Surya K Nallari Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 404 10th St Sw, Demotte, IN 46310 Phone: 219-987-6010 |