NORTHSHORE HEALTH CENTERS INC. NPI 1740887298

NPI Information

NPI: 1740887298
Provider Name: NORTHSHORE HEALTH CENTERS, INC.

Doing Business As: NORTHSHORE CHESTERTON MIDDLE SCHOOL HEALTH CENTER

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
651 W MORGAN AVE RM F168
CHESTERTON, IN
ZIP 46304
Phone: (219) 763-8112
Get Directions

NORTHSHORE HEALTH CENTERS, INC. is a federally qualified health center (fqhc) clinic center in Chesterton, IN. NORTHSHORE HEALTH CENTERS, INC. NPI is 1740887298. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Northshore Chesterton Middle School Health Center.

The provider's business location address is:

651 W MORGAN AVE RM F168
CHESTERTON, IN
ZIP 46304-243
Phone: (219) 763-8112
Fax: (219) 764-5380

The provider's authorized official is David Hall .
The authorized official title is Ceo and has the following contact phone number (219) 763-8112.

The CLIA number assigned to this NPI record is 15D2260566 - federally qualified health center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/7/2020 and was last updated on 11/5/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	207Q00000X	Family Medicine		No
2	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)	Yes
3	363LF0000X	Nurse Practitioner	Family	No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »