NORTHSHORE HEALTH CENTERS, INC.

LAKE STATION, IN
NPI1972895647
Doing Business AsNORTHSHORE EDISON SENIOR HIGH SCHOOL
Entity TypeOrganization
Authorized ContactDAVID HALL
CEO
219-763-8112
Organization Subpart ?No
Primary Taxonomy261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC)
Additional Taxonomies207Q00000X Family Medicine
363L00000X Nurse Practitioner
363LF0000X Nurse Practitioner, Family
Enumeration Date2011-05-12
Last Update Date2020-09-22
Business Address
NORTHSHORE HEALTH CENTERS, INC.
3304 PARKSIDE AVE
LAKE STATION, IN 46405-1143
Phone number: 219-763-8112
Mailing Address
NORTHSHORE HEALTH CENTERS, INC.
PO BOX 1430
PORTAGE, IN 46368-9230
Phone number: 219-763-8112
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