Organization
NORTHSHORE HEALTH CENTERS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RHONA GILLIAM (CONTRACTING SPECIALIST)
(219) 763-8112
Entity
Organization
Contact information
Practice address
2121 E COLUMBUS DR, EAST CHICAGO, IN 46312-3197
(219) 763-8112
(219) 764-5380
Mailing address
PO BOX 1430, PORTAGE, IN 46368-9230
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
04/11/2024
Last updated
04/11/2024
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