| NPI | 1609562370 |
|---|---|
| Doing Business As | NORTHSHORE HEALTH CENTERS TEMPORARY SITE |
| Entity Type | Organization |
| Authorized Contact | DAVID HALL CEO 219-763-8112 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery |
| 213ES0131X | |
| Enumeration Date | 2023-04-14 |
| Last Update Date | 2023-04-14 |