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Northshore Health Centers, Inc.
Federally Qualified Health Center (FQHC) in Lake Station, Indiana
NPI 1356530505

Northshore Health Centers, Inc. is a Federally Qualified Health Center (FQHC) based in Portage, IN and is specialized in Federally Qualified Health Center (FQHC). Northshore Health Centers, Inc. practices in Lake Station, IN. The NPI Number for Northshore Health Centers, Inc. is 1356530505 and holds a License No. (Indiana).

The current practice location address for Northshore Health Centers, Inc. is 3099 Central Ave, Lake Station, IN and can be reached out via phone at 219-763-8112 and via fax at 219-962-1189.

Location: 3099 Central Ave, Lake Station, IN, 46368-9230
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1356530505
Provider Name
Northshore Health Centers, Inc.
Credential
Provider Entity Type
Organization
Address
3099 Central Ave, Lake Station, IN, 46368-9230
Phone Number
219-763-8112
Fax Number
219-962-1189
Provider Enumeration Date
10/23/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
151869 01 IN MEDICARE PART A PTAN
191360 01 IN MEDICARE PART B PTAN
200331170C 05 IN
institution
Provider Business Practice Location Address Details
Address
3099 Central Ave
City
Lake Station
State
Indiana
Zip
46405-2207
Phone Number
219-763-8112
Fax Number
219-962-1189
person
Provider Business Mailing Address Details
Address
3099 Central Ave
City
Lake Station
State
Indiana
Zip
46405-2207
Phone Number
219-763-8112
Fax Number
219-962-1189
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
()
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
person
Provider's Taxonomy Details 2
Type
Dental Providers
Classification
Dental Hygienist
Speciality
-
Taxonomy
124Q00000X
License No.
()
Definition
An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and regulations, but always include, at a minimum, scaling and polishing the teeth. To avoid misleading the public, no occupational title other than dental hygienist should be used to describe this dental auxiliary.
person
Provider's Taxonomy Details 3
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Body Imaging
Taxonomy
2085B0100X
License No.
()
Definition
A Radiology doctor of Osteopathy that specializes in Body Imaging.
person
Provider's Taxonomy Details 4
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Federally Qualified Health Center (FQHC)
Taxonomy
261QF0400X
License No.
()
Definition
Definition to come...
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