Northshore Health Centers Inc

Organization Active NPI Family Medicine Physician · Merrillville, IN

NPI 1104158377 · NPPES record last updated Jun 10, 2010

Key facts

NPI
1104158377
Entity type
Organization (NPI type 2)
Primary specialty
Family Medicine Physician 207Q00000X
Legal business name
NORTHSHORE HEALTH CENTERS INC
Practice address
8555 Taft St
Merrillville, IN 46410-6123
Phone
(219) 763-8812
Fax
(219) 764-3251
NPI assigned
Feb 12, 2010
Organization subpart
No

Authorized official

Name
Janice Wilson
Title
Ceo
Phone
(219) 764-5318

Corporate family (same tax ID) 27

Organizations that report the same tax identification number in the National Provider Directory.

View all 27

National Provider Directory

Tax ID family
Northshore Health CTRS Inc (28 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician
Group: 193200000X MULTI-SPECIALTY GROUP
207Q00000X Yes

Addresses

Primary practice location

8555 Taft St
Merrillville, IN 46410-6123

Mailing address

PO Box 1430
Portage, IN 46368-9230
Phone (219) 764-5318

Other identifiers

IdentifierTypeStateIssuer
200331170MedicaidIN

Other names

  • NorthShore Regional Health Centers Doing business as

Other providers in Merrillville, IN

All providers in Merrillville, IN · Family Medicine Physician in Indiana

Sources for this page

Verify at the official NPI Registry.