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Northshore Health Centers, Inc.

Federally Qualified Health Center (FQHC) in Portage, IN · enumerated 2007 · authorized official David Hall, Ceo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1407061336

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Registry record

Entity type Organization (Type 2)
Legal business name Northshore Health Centers, Inc.
Practice address 6050 Sterling Creek Rd, Portage, IN, 46368
Fax (219) 764-5380
Enumeration date May 14, 2007
Last updated in NPPES Sep 22, 2020

Taxonomy & classification

101YA0400X Addiction (Substance Use Disorder) Counselor Behavioral Health & Social Service Providers Secondary
1041C0700X Clinical Social Worker Behavioral Health & Social Service Providers Secondary
111N00000X Chiropractor Chiropractic Providers Secondary
122300000X Dentist Dental Providers Secondary
152W00000X Optometrist Eye and Vision Services Providers Secondary
207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians Secondary
207RE0101X Endocrinology, Diabetes & Metabolism Physician Allopathic & Osteopathic Physicians Secondary
207V00000X Obstetrics & Gynecology Physician Allopathic & Osteopathic Physicians Secondary
208000000X Pediatrics Physician Allopathic & Osteopathic Physicians Secondary
2084P0800X Psychiatry Physician Allopathic & Osteopathic Physicians Secondary
2085R0202X Diagnostic Radiology Physician Allopathic & Osteopathic Physicians Secondary
2085U0001X Diagnostic Ultrasound Physician Allopathic & Osteopathic Physicians Secondary
261QF0400X Federally Qualified Health Center (FQHC) Ambulatory Health Care Facilities Primary
363LF0000X Family Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Secondary
363LW0102X Women's Health Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Secondary

Authorized official

Name David Hall
Title Ceo

Other identifiers

Identifier Type State Issuer
200331170B Medicaid IN -
151834 Other IN MERICARE PART A PTAN
191360 Other IN MEDICARE PART B PTAN

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Northshore Health Centers, Inc.?
The NPI for Northshore Health Centers, Inc. is 1407061336, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Northshore Health Centers, Inc.?
NPPES lists David Hall (Ceo) as the authorized official for this organization.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-09-22.