| NPI | 1932976495 |
|---|---|
| Doing Business As | NORTHSHORE GARY HEALTH CENTER |
| Entity Type | Organization |
| Authorized Contact | DAVID HALL CEO 219-763-8112 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2023-12-05 |
| Last Update Date | 2023-12-05 |