Organization
NORTHSHORE HEALTH CENTERS, INC
Active
Other names
NorthShore Gary Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID HALL (CEO)
(219) 763-8112
Entity
Organization
Contact information
Practice address
2200 GRANT ST, GARY, IN 46404-3439
(219) 706-3534
Mailing address
2200 GRANT ST, GARY, IN 46404-3439
(219) 706-3534
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
11/14/2024
Last updated
11/14/2024
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