| NPI | 1588417158 |
|---|---|
| Doing Business As | NORTHSHORE MICHIGAN CITY HEALTH CENTER |
| Entity Type | Organization |
| Authorized Contact | RHONA GILLIAM Contracting Specialist 219-763-8112 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2024-04-11 |
| Last Update Date | 2024-04-11 |