Organization · Type 2 NPI
Northshore Health Centers, Inc.
Federally Qualified Health Center (FQHC) · Demotte, IN
NPI number
1295498947
Active
Practice location
200 3rd Ct SE
Demotte, IN 46310-7400
Mailing address
PO Box 1430
Portage, IN 46368-9230
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine Physician | 207Q00000X | None listed |
| Pediatrics Physician | 208000000X | None listed |
| Federally Qualified Health Center (FQHC) Primary | 261QF0400X | None listed |
| Family Nurse Practitioner | 363LF0000X | None listed |
| Women's Health Nurse Practitioner | 363LW0102X | None listed |
Federally Qualified Health Center (FQHC): Definition to come...
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About NPI 1295498947
Northshore Health Centers, Inc.'s National Provider Identifier is 1295498947, issued on Oct 20, 2021. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Demotte, IN. The record was last updated on Oct 20, 2021.