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CH051828V NORTHSHORE HEALTH CENTERS, INC (Active)
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Main Details
Name
NORTHSHORE HEALTH CENTERS, INC
Subdivision Name
NorthShore Valparaiso Health Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-038281
340B ID
CH051828V
Grant Number
H80CS02458
Additional Details
Current Program Status
Active
Registration Date
4/2/2024
Participating Start Date
7/1/2024
Participating Approval Date
5/21/2024
Last Recertification Date
2/13/2025
Contacts
Authorizing Official
NorthShore Health Centers
David Hall, CEO
(219) 763-8112 Ext: 8002
Primary Contact
NorthShore Health Centers Inc.
Michael Wichlinski, Pharmacy Director
(219) 763-8112 Ext: 2301
Addresses
Street Address
85 E US Highway 6, Ste 330
Valparaiso, IN 46383-8948
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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April 2025
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