| Northshore Health Centers, Inc. | |
|
2121 E Columbus Dr East Chicago IN 46312-3197 | |
| (219) 763-8112 | |
| (219) 764-5380 |
| Full Name | Northshore Health Centers, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 2121 E Columbus Dr, East Chicago, Indiana |
| Authorized Official Name and Position | Rhona Gilliam (CONTRACTING SPECIALIST) |
| Authorized Official Contact | 2197638112 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Northshore Health Centers, Inc. Po Box 1430 Portage IN 46368-9230 Ph: () - | Northshore Health Centers, Inc. 2121 E Columbus Dr East Chicago IN 46312-3197 Ph: (219) 763-8112 |
| NPI Number | 1336992999 |
|---|---|
| Provider Enumeration Date | 04/11/2024 |
| Last Update Date | 04/11/2024 |
| Medicare PECOS PAC ID | 5799671236 |
|---|---|
| Medicare Enrollment ID | O20240530001439 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336992999 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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