Organization
NORTHSHORE HEALTH CENTERS, INC
Active
Parent organization
NORTHSHORE HEALTH CENTERS, INC
Other names
NorthShore Hammond Pharmacy
Organization subpart
Yes
Provider details
NPI number
Legal business name
NORTHSHORE HEALTH CENTERS, INC
Authorized official
DAVID HALL (CEO)
(219) 763-8112
Entity
Organization
Contact information
Practice address
1828 165TH ST STE A, HAMMOND, IN 46320-2823
(219) 764-5349
(219) 764-5381
Mailing address
PO BOX 1430, PORTAGE, IN 46368-9230
(219) 763-8112
(219) 764-5380
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
3336C0002X
Clinic Pharmacy
—
—
Other
Enumeration date
12/10/2020
Last updated
02/08/2021
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