| Northshore Health Centers, Inc. | |
|
6450 Us Highway 6 Portage IN 46368-5110 | |
| (219) 763-8112 | |
| (219) 764-6348 |
| Full Name | Northshore Health Centers, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 6450 Us Highway 6, Portage, 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. 6450 Us Highway 6 Portage IN 46368-5110 Ph: (219) 763-8112 |
| NPI Number | 1467490300 |
|---|---|
| Provider Enumeration Date | 06/03/2006 |
| Last Update Date | 09/22/2020 |
| Medicare PECOS PAC ID | 5799671236 |
|---|---|
| Medicare Enrollment ID | O20040223001086 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467490300 | NPI | - | NPPES |
| 200331170A | Medicaid | IN | |
| 191360 | Other | IN | MEDICARE PART B PTAN |
| 151829 | Other | IN | MEDICARE PART A PTAN |
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