Northshore Health Centers, Inc. in Portage - Dental Hygienist
Northshore Health Centers, Inc. - NPI 1356530505
Northshore Health Centers, Inc. is a Dental Hygienist in Portage, Indiana. Northshore Health Centers, Inc. practices all healthcare services and medical treatments related to Dental Hygienist. The NPI Number for Northshore Health Centers, Inc. is 1356530505. The last update date is 2020-09-22.
Northshore Health Centers, Inc.'s current location address is Po Box 1430, Portage, Indiana. You can contact this provider via phone number 2197638112 and fax number 2197645380. The mailing address for Northshore Health Centers, Inc. is Po Box 1430, Portage, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Northshore Health Centers, Inc. |
|---|---|
| Address | Po Box 1430, Portage, Indiana |
| Phone Number | 2197638112 |
| Fax Number | 2197645380 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Hall David |
| Telephone Number | 2197638112 |
NPI Number Detail
| NPI Number | 1356530505 |
|---|---|
| Provider Enumeration Date | 2007-10-23 |
| Last Updated Date | 2020-09-22 |
Provider Mailing Address Detail
| Address | Po Box 1430 |
|---|---|
| City | Portage |
| State | Indiana (IN) |
| Post Code | 463689230 |
| Phone Number | 2197638112 |
| Fax Number | 2197645380 |
Provider's Primary Taxonomy Detail
| Speciality | Dental Hygienist |
|---|---|
| Taxonomy | 124Q00000X |
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Definition: An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 151869 | IN | MEDICARE PART A PTAN | |
| 191360 | IN | MEDICARE PART B PTAN | |
| 200331170C | IN | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Northshore Health Centers, Inc. by the Centers for Medicare & Medicaid Services?
The Northshore Health Centers, Inc. has been assigned the NPI (National Provider Identifier) 1356530505. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Northshore Health Centers, Inc.?
The Northshore Health Centers, Inc. is situated at Po Box 1430, in the city of Portage, state of IN, with the zip code 463689230.
What is Northshore Health Centers, Inc.'s specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Northshore Health Centers, Inc.'s specialized field of practice is Dental Hygienist, and the corresponding taxonomy code that categorizes this area of specialization is 124Q00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1356530505 to Northshore Health Centers, Inc.?
The Centers for Medicare & Medicaid Services assigned the 1356530505 to Northshore Health Centers, Inc. on 2007-10-23.
When was the Northshore Health Centers, Inc.'s information last updated?
The Northshore Health Centers, Inc.'s information was last updated on 2020-09-22.