Organization
NORTHSHORE HEALTH CENTERS, INC.
Active
Other names
NorthShore Health Centers Temporary Site
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID HALL (CEO)
(219) 763-8112
Entity
Organization
Contact information
Practice address
1275 E NORTH ST STE 102, CROWN POINT, IN 46307-3538
(219) 763-8112
(219) 764-5380
Mailing address
PO BOX 1430, PORTAGE, IN 46368-9230
(219) 763-8112
(219) 764-5380
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
—
—
213ES0131X
Foot Surgery Podiatrist
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
04/14/2023
Last updated
04/14/2023
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