Organization · Type 2 NPI
Northshore Health Centers, Inc.
Federally Qualified Health Center (FQHC) · St. John, IN
NPI number
1851966089
Active
Practice location
9825 Wicker Ave Side
St. John, IN 46373-9413
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 |
Federally Qualified Health Center (FQHC): Definition to come...
Other federally qualified health center (fqhc) providers in St. John
About NPI 1851966089
Northshore Health Centers, Inc.'s National Provider Identifier is 1851966089, issued on May 20, 2021. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in St. John, IN. The record was last updated on May 20, 2021.