| Northshore Health Centers, Inc. | |
|
2490 Central Ave Ste B Lake Station IN 46405-2122 | |
| (219) 962-5909 | |
| (219) 962-5981 |
| Full Name | Northshore Health Centers, Inc. |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 2490 Central Ave Ste B, Lake Station, 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. 2490 Central Ave Ste B Lake Station IN 46405-2122 Ph: (219) 962-5909 |
| NPI Number | 1497995815 |
|---|---|
| Provider Enumeration Date | 02/25/2009 |
| Last Update Date | 09/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497995815 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
| 3336C0002X | Pharmacy - Clinic Pharmacy | (* (Not Available)) | Secondary |
Fernando H. Rivera M.d. Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3099 Central Ave, Lake Station, IN 46405 Phone: 219-962-1418 Fax: 219-962-4516 | |
Northshore Edison Senior High School Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3304 Parkside Ave, Lake Station, IN 46405 Phone: 219-763-8112 Fax: 219-962-1860 |