Organization
NORTHSHORE HEALTH CENTERS INC
Active
Other names
NorthShore Regional Health Centers
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JANICE WILSON (CEO)
(219) 763-8112
Entity
Organization
Contact information
Practice address
8555 TAFT ST, MERRILLVILLE, IN 46410-6123
(219) 763-8112
(219) 764-3251
Mailing address
PO BOX 1430, PORTAGE, IN 46368-9230
(219) 763-8112
(219) 764-3251
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
151861
MEDICARE PTAN
IN
01
—
191360
MEDICARE PART B PTAN
IN
05
—
200331170
—
IN
Enumeration date
01/11/2010
Last updated
03/12/2013
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us