Organization · Type 2 NPI

Northshore Health Centers, Inc.

Federally Qualified Health Center (FQHC) · Crown Point, IN

NPI number 1629649751 Active

Practice location

10851 Broadway, Clinic Suite, North Of Main Entrance
Crown Point, IN 46307-7303

Fax (219) 764-5380

Mailing address

PO Box 1430
Portage, IN 46368-9230

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician 207Q00000XNone listed
Federally Qualified Health Center (FQHC) Primary 261QF0400XNone listed
Multi-Specialty Clinic/Center 261QM1300XNone listed
Family Nurse Practitioner 363LF0000XNone listed

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

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About NPI 1629649751

Northshore Health Centers, Inc.'s National Provider Identifier is 1629649751, issued on Jul 9, 2021. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Crown Point, IN. The record was last updated on Jul 9, 2021.