Organization · Type 2 NPI

Northshore Health Centers, Inc.

Federally Qualified Health Center (FQHC) · Portage, IN

NPI number 1407061336 Active

Practice location

6050 Sterling Creek Rd
Portage, IN 46368-7752

Call (219) 763-8112 Map

Fax (219) 764-5380

Mailing address

PO Box 1430
Portage, IN 46368-9230

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed
Clinical Social Worker 1041C0700XNone listed
Chiropractor 111N00000XNone listed
Dentist 122300000XNone listed
Optometrist 152W00000XNone listed
Family Medicine Physician 207Q00000XNone listed
Endocrinology, Diabetes & Metabolism Physician 207RE0101XNone listed
Obstetrics & Gynecology Physician 207V00000XNone listed
Pediatrics Physician 208000000XNone listed
Psychiatry Physician 2084P0800XNone listed
Diagnostic Radiology Physician 2085R0202XNone listed
Diagnostic Ultrasound Physician 2085U0001XNone listed
Federally Qualified Health Center (FQHC) Primary 261QF0400XNone listed
Family Nurse Practitioner 363LF0000XNone listed
Women's Health Nurse Practitioner 363LW0102XNone listed

Federally Qualified Health Center (FQHC): Definition to come...

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About NPI 1407061336

Northshore Health Centers, Inc.'s National Provider Identifier is 1407061336, issued on May 14, 2007. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Portage, IN. The record was last updated on Sep 22, 2020.