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CH051828F NORTHSHORE HEALTH CENTERS, INC (Active)
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Main Details
Name
NORTHSHORE HEALTH CENTERS, INC
Subdivision Name
NorthShore Edison Senior High School
Type
HRSA-Funded Health Center
Site ID
BPS-H80-010518
340B ID
CH051828F
Grant Number
H80CS02458
Additional Details
Current Program Status
Active
Registration Date
4/1/2013
Participating Start Date
7/1/2013
Participating Approval Date
4/10/2013
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
3304 Parkside Ave
Lake Station, IN 46405-1143
Billing Address
NorthShore Health Centers
PO Box 1430
Portage, IN 46368
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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