Organization · Type 2 NPI

Northshore Health Centers, Inc.

Federally Qualified Health Center (FQHC) · Lake Station, IN

NPI number 1861636664 Active

Practice location

2490 Central Ave
Lake Station, IN 46405-2122

Fax (219) 962-1580

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
Optometrist 152W00000XNone listed
Family Medicine Physician 207Q00000XNone listed
Obstetrics & Gynecology Physician 207V00000XNone listed
Pediatrics Physician 208000000XNone listed
Psychiatry Physician 2084P0800XNone listed
Child & Adolescent Psychiatry Physician 2084P0804XNone listed
Diagnostic Radiology Physician 2085R0202XNone listed
Diagnostic Ultrasound Physician 2085U0001XNone listed
Federally Qualified Health Center (FQHC) Primary 261QF0400XNone listed
Nurse Practitioner 363L00000XNone listed
Family Nurse Practitioner 363LF0000XNone listed
Women's Health Nurse Practitioner 363LW0102XNone listed
Advanced Practice Midwife 367A00000XNone listed

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

21 other providers at this address

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About NPI 1861636664

Northshore Health Centers, Inc.'s National Provider Identifier is 1861636664, issued on Apr 23, 2009. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Lake Station, IN. The record was last updated on Nov 12, 2020.