Organization · Type 2 NPI
Northshore Health Centers, Inc.
Federally Qualified Health Center (FQHC) · Lake Station, IN
NPI number
1356530505
Active
Practice location
3099 Central Ave
Lake Station, IN 46405-2207
Fax (219) 962-1189
Mailing address
PO Box 1430
Portage, IN 46368-9230
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry | 1223G0001X | None listed |
| Dental Hygienist | 124Q00000X | None listed |
| Body Imaging Physician | 2085B0100X | None listed |
| Federally Qualified Health Center (FQHC) Primary | 261QF0400X | None listed |
Federally Qualified Health Center (FQHC): Definition to come...
8 other providers at this address
- Fernando H. Rivera M.d. IncFamily Medicine Physician Lake Station, IN NPI 1316118276
- Bruce Henry Hmurovic, DMDGeneral Practice Dentistry Lake Station, IN NPI 1699827980
- Gabrielle Shay Kasarda, DDSGeneral Practice Dentistry Lake Station, IN NPI 1235064734
- Kathryn Elizabeth Ritchie, DDSGeneral Practice Dentistry Lake Station, IN NPI 1821436619
- Nicholas Bernard Cain, DDSGeneral Practice Dentistry Lake Station, IN NPI 1730284217
- Rebecca Thimothy, DMDGeneral Practice Dentistry Lake Station, IN NPI 1487160669
- Roger K. Shieh, DDSDentist Lake Station, IN NPI 1144540980
- Troy M. Mannino, DDSDentist Lake Station, IN NPI 1558647586
Other federally qualified health center (fqhc) providers in Lake Station
- Northshore Health Centers, Inc.Federally Qualified Health Center (FQHC) Lake Station, IN NPI 1497995815
- Northshore Health Centers, Inc.Federally Qualified Health Center (FQHC) Lake Station, IN NPI 1861636664
- Northshore Health Centers, Inc.Federally Qualified Health Center (FQHC) Lake Station, IN NPI 1972895647
About NPI 1356530505
Northshore Health Centers, Inc.'s National Provider Identifier is 1356530505, issued on Oct 23, 2007. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Lake Station, IN. The record was last updated on Sep 22, 2020.