NORTHSHORE HEALTH CENTERS, INC. (NPI# 1740887298) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740887298 |
| Entity Type | Organization |
| Organization Name | NORTHSHORE HEALTH CENTERS, INC. |
| Other Organization Name | NORTHSHORE CHESTERTON MIDDLE SCHOOL HEALTH CENTER |
| Practice Address |
651 W Morgan Ave Rm F168 Chesterton IN 46304-2243 |
| Mailing Address |
Po Box 1430 Portage IN 46368-9230 |
| Practice Telephone | 2197638112 |
| Practice Fax Number | 2197645380 |
| Mailing Telephone | 2197638112 |
| Mailing Fax Number | 2197645380 |
| Enumeration Date | 2020-10-07 |
| Last Update Date | 2020-11-05 |
| Authorized Official Name | DAVID HALL (CEO) |
| Authorized Official Telephone | 2197638112 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| NorthShore Chesterton Middle School Health Center | Doing Business As Name - Organization |
| NorthShore Chesterton Middle School Health Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972895647 | Northshore Health Centers, Inc. | Family Medicine | 3304 Parkside Ave, Lake Station, IN 46405-1143 | 2011-05-12 |
| 1578864948 | Northshore Health Centers, Inc. | Counselor | 1008 Broadway, Chesterton, IN 46304-2149 | 2010-11-16 |
| 1497995815 | Northshore Health Centers, Inc. | Pharmacy | 2490 Central Ave Ste B, Lake Station, IN 46405-2122 | 2009-02-25 |
| 1467490300 | Northshore Health Centers, Inc. | Family Medicine | 6450 Us Highway 6, Portage, IN 46368-5110 | 2006-06-03 |
| 1417519000 | Northshore Health Centers, Inc. | Counselor | 714 Lincolnway, La Porte, IN 46350-3353 | 2019-07-03 |
| 1568856045 | Northshore Health Centers, Inc. | Obstetrics & Gynecology | 407 W Indiana Ave, Chesterton, IN 46304-2350 | 2015-03-24 |
| 1598196933 | Northshore Health Centers, Inc. | Family Medicine | 276 E 68th Pl, Merrillville, IN 46410-3566 | 2013-12-11 |
| 1477810315 | Northshore Health Centers, Inc. | Social Worker | 6091 Broadway, Merrillville, IN 46410-2619 | 2012-04-17 |
| 1861636664 | Northshore Health Centers, Inc. | Counselor | 2490 Central Ave, Lake Station, IN 46405-2122 | 2009-04-23 |
| 1356530505 | Northshore Health Centers, Inc. | Dentist | 3099 Central Ave, Lake Station, IN 46405-2207 | 2007-10-23 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | NORTHSHORE HEALTH CENTERS, INC | 6450 Us Highway 6, Portage, IN 46368-5110 |
| Street Address |
651 W MORGAN AVE RM F168 |
| City | CHESTERTON |
| State | IN |
| Zip Code | 46304-2243 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184274268 | Trinity Healthcare Inc. | Occupational Therapist | 2300 Village Point, Chesterton, IN 46304 | 2019-09-19 |
| 1962987206 | Kara Polus | Physical Therapy Assistant | 1595 S Calumet Rd Suite 3, Chesterton, IN 46304 | 2018-10-02 |
| 1275024481 | Karson Rice | Developmental Therapist | 1595 S Calumet Rd, Suite 3, Chesterton, IN 46304 | 2018-05-23 |
| 1720527765 | Alina Broski I | Occupational Therapy Assistant | 1120 S. Calument Road, Suite 3, Chesterton, IN 46304 | 2017-02-22 |
| 1538612015 | Muhammad Ziad Souqiyyeh | Internal Medicine | 3100 Village Pt Ste 102, Chesterton, IN 46304 | 2016-08-01 |
| 1942671656 | Samantha Stremich | Psychologist | 1496 Pope Ct # 2, Chesterton, MI 46304 | 2015-10-08 |
| 1669852299 | Deborah Joan Krause | Physical Therapy Assistant | 780 Dickinson Rd., Addison Pointe Health & Rehab Center, Chesterton, IN 46304 | 2015-06-09 |
| 1538462338 | Sunil Patel Md. P.C. | Internal Medicine | 1140 S. Calumet Road, Suite #2, Chesterton, IN 46304 | 2010-12-16 |
| 1629301981 | Lindsay Allison Munden | Nurse Practitioner | 505 County Road 1100 North, Chesterton, IN 46304 | 2009-09-17 |
| 1881851509 | Total Renal Care Inc | Clinic/Center | 711 Plaza Dr, Ste 6, Chesterton, IN 46304 | 2008-05-20 |
| Find all providers in zip 46304 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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| 1578194049 | Meridian Health Services Corp | Clinic/Center | 520 S 9th St Ste A, Richmond, IN 47374-6230 | 2020-02-03 |
| 1023671740 | Open Door Health Services, Inc. | Clinic/Center | 1804-1806 West Royale Dr, Muncie, IN 47304-2243 | 2019-04-18 |
| Find all providers with the same taxonomy | ||||
| City | CHESTERTON |
| Zip Code | 46304 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.