Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Northshore Health Centers, Inc.

Federally Qualified Health Center (FQHC) in Lake Station, IN · enumerated 2009 · authorized official David Hall, Ceo.

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

National Provider Identifier

1861636664

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Registry record

Entity type Organization (Type 2)

Legal business name Northshore Health Centers, Inc.

Practice address 2490 Central Ave, Lake Station, IN, 46405

Phone (219) 763-8112

Fax (219) 962-1580

Enumeration date Apr 23, 2009

Last updated in NPPES Nov 12, 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

152W00000X Optometrist Eye and Vision Services Providers Secondary

207Q00000X Family Medicine 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

2084P0804X Child & Adolescent 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

363L00000X Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Secondary

363LF0000X Family Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Secondary

363LW0102X Women's Health Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Secondary

367A00000X Advanced Practice Midwife Physician Assistants & Advanced Practice Nursing Providers Secondary

Authorized official

Name David Hall

Title Ceo

Phone (219) 763-8112

Other identifiers

Identifier	Type	State	Issuer
151846	Other	IN	MEDICARE PART A PTAN
191360	Other	IN	MEDICARE PART B PTAN
200331170D	Medicaid	IN	-

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.

Read the full guide → Validate an NPI →

Frequently asked questions

What is a Type 2 NPI?

A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

What type of organization is Northshore Health Centers, Inc.?

Northshore Health Centers, Inc. is registered in NPPES as a Federally Qualified Health Center (FQHC) (its primary provider taxonomy).

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-11-12.