| NPI | 1053905976 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2021-02-22 |
| Last Updated | 2022-03-04 |
| Authorized Official | David Hall CEO Phone: 2197638112 |
| Mailing Address | Po Box 1430 Portage, IN 46368-9230 United States Phone: (219) 763-8112 | Fax: (219) 764-5380 📍 View Map |
| Primary Practice Address | 6091 Broadway Merrillville, IN 46410-2619 United States Phone: (219) 763-8944 | Fax: (219) 764-5395 📍 View Map |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| No | 3336C0002X – Pharmacy, Clinic Pharmacy | — | — |
| Yes | 261QF0400X – Clinic/Center, Federally Qualified Health Center (FQHC) | — | — |
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About NPI 1053905976
Northshore Health Centers, Inc. is an organization registered in the CMS NPPES NPI Registry with NPI number 1053905976. The primary specialty listed is Clinic/Center, Federally Qualified Health Center (FQHC). The organization is located in Merrillville, IN. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2021-02-22. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1053905976?
NPI 1053905976 belongs to Northshore Health Centers, Inc., a Clinic/Center, Federally Qualified Health Center (FQHC) in Merrillville, IN. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1053905976 active?
The current status of NPI 1053905976 in the NPPES registry is Active. The record was last updated on 2022-03-04.
What specialty is NPI 1053905976?
NPI 1053905976 is classified under the taxonomy Clinic/Center, Federally Qualified Health Center (FQHC). Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1053905976?
You can verify NPI 1053905976 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1053905976?
The primary practice address on file for NPI 1053905976 is 6091 Broadway, Merrillville, IN 46410-2619. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1053905976 issued?
NPI 1053905976 was first issued (enumerated) on 2021-02-22. The NPPES record was last updated on 2022-03-04.
Practice Location Map
Northshore Health Centers, Inc. is located at 6091 Broadway, Merrillville, IN. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Northshore Health Centers, Inc.. All records sourced from the CMS NPPES registry.