Organization · Type 2 NPI
Northshore Health Centers, Inc.
Federally Qualified Health Center (FQHC) · Laporte, IN
NPI number
1639742224
Active
Practice location
602 F Street, Rm G.15
Laporte, IN 46350-5526
Fax (219) 764-5380
Mailing address
PO Box 1430
Portage, IN 46368-9230
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine Physician | 207Q00000X | None listed |
| Federally Qualified Health Center (FQHC) Primary | 261QF0400X | None listed |
| Multi-Specialty Clinic/Center | 261QM1300X | None listed |
| Family Nurse Practitioner | 363LF0000X | None listed |
Federally Qualified Health Center (FQHC): Definition to come...
About NPI 1639742224
Northshore Health Centers, Inc.'s National Provider Identifier is 1639742224, issued on Jul 21, 2021. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Laporte, IN. The record was last updated on Jul 21, 2021.