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Northshore Health Centers, Inc.
Family Nurse Practitioner in Portage, Indiana
NPI 1467490300

Northshore Health Centers, Inc. is a Family Nurse Practitioner based in Portage, IN and is specialized in Family. Northshore Health Centers, Inc. practices in Portage, IN. The NPI Number for Northshore Health Centers, Inc. is 1467490300 and holds a License No. (Indiana).

The current practice location address for Northshore Health Centers, Inc. is 6450 Us Highway 6, Portage, IN and can be reached out via phone at 219-763-8112 and via fax at 219-764-6348.

Location: 6450 Us Highway 6, Portage, IN, 46368-9230
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1467490300
Provider Name
Northshore Health Centers, Inc.
Credential
Provider Entity Type
Organization
Address
6450 Us Highway 6, Portage, IN, 46368-9230
Phone Number
219-763-8112
Fax Number
219-764-6348
Provider Enumeration Date
06/03/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
200331170A 05 IN
191360 01 IN MEDICARE PART B PTAN
151829 01 IN MEDICARE PART A PTAN
institution
Provider Business Practice Location Address Details
Address
6450 Us Highway 6
City
Portage
State
Indiana
Zip
46368-5110
Phone Number
219-763-8112
Fax Number
219-764-6348
person
Provider Business Mailing Address Details
Address
6450 Us Highway 6
City
Portage
State
Indiana
Zip
46368-5110
Phone Number
219-763-8112
Fax Number
219-764-6348
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
()
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Federally Qualified Health Center (FQHC)
Taxonomy
261QF0400X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
()
Definition
Definition to come...
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