Northshore Laporte Health Center
LBN: Northshore Health Centers, Inc.
Northshore Laporte Health Center is an health care organization with primary practice located at 508 Legacy Plz W , La Porte IN 46350-5254. The organization recently has 6 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical, Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Psychiatry, Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), Physician Assistants & Advanced Practice Nursing Providers / Family. Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) is the primary health care specialty.
Northshore Health Centers, Inc. can be contacted via phone (219) 728-1638, or through Hall, David via phone (219) 763-8112.
Contact Information
Primary practice address
508 Legacy Plz W
La Porte IN 46350-5254
Phone: (219) 728-1638
Fax: (219) 728-1639
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | ||
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | ||
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ||
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | ||
| Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) | 261QF0400X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X |
Profile Details
| NPI number | 1417519000 |
|---|---|
| LBN Legal business name | Northshore Health Centers, Inc. |
| DBA Doing business as | Northshore Laporte Health Center |
| Authorized official | Hall, David |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 3rd, 2019 |
| Last updated | Jun 19th, 2023 - about 3 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1417519000 | NPPES |
| Indiana | Other | 151054 | MEDICARE PTAN |
| Indiana | MEDICAID | 300031202 | MEDICARE PTAN |
| Indiana | Other | 191360 | MEDICARE PTAN |
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