Organization · Type 2 NPI

Northshore Health Centers, Inc

Federally Qualified Health Center (FQHC) · Demotte, IN

NPI number 1790442044 Active

Practice location

200 3rd Ct SE
Demotte, IN 46310-7400

Fax (219) 764-5333

Mailing address

PO Box 1430
Portage, IN 46368-9230

Specialties and licenses

TaxonomyCodeLicense
Federally Qualified Health Center (FQHC) Primary 261QF0400XNone listed
Pharmacy 333600000XNone listed

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About NPI 1790442044

Northshore Health Centers, Inc's National Provider Identifier is 1790442044, issued on Nov 22, 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 Nov 22, 2021.