| Northshore Health Centers, Inc. | |
|
600 N Wiggs St Rm A104b Griffith IN 46319-2060 | |
| (219) 763-8112 | |
| (219) 764-5380 |
| Full Name | Northshore Health Centers, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 600 N Wiggs St Rm A104b, Griffith, Indiana |
| Authorized Official Name and Position | David Hall (CEO) |
| 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: (219) 763-8112 | Northshore Health Centers, Inc. 600 N Wiggs St Rm A104b Griffith IN 46319-2060 Ph: (219) 763-8112 |
| NPI Number | 1639743651 |
|---|---|
| Provider Enumeration Date | 05/14/2021 |
| Last Update Date | 05/14/2021 |
| Medicare PECOS PAC ID | 5799671236 |
|---|---|
| Medicare Enrollment ID | O20210616000139 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639743651 | NPI | - | NPPES |
| 191360 | Other | IN | MEDICARE PART B PTAN |
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