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CH051828S NORTHSHORE HEALTH CENTERS, INC (Active)
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Main Details
Name
NORTHSHORE HEALTH CENTERS, INC
Subdivision Name
NorthShore Crown Point Health Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-038280
340B ID
CH051828S
Grant Number
H80CS02458
Additional Details
Current Program Status
Active
Registration Date
11/15/2021
Participating Start Date
11/16/2021
Participating Approval Date
11/16/2021
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
310 W. 112th Ave
Crown Point, IN 46307-7303
Billing Address
NorthShore Health Centers, Inc
PO Box 1430
Portage, IN 46368
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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April 2025
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