OrganizationActive
Lake Shore Clinic
NPI 1366566424 · Clinic/Center · Culver, IN
Lake Shore Clinic is a Clinic/Center organization in Culver, IN (NPI 1366566424).
Provider details
- NPI number
- 1366566424
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Judith Deery, Business Manager(574) 842-3327
- License
- 207Q000000X (IN)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
921 N Lake Shore Dr
Culver, IN 46511-1207
Phone: (574) 842-4330
Street-level locationGet directions
Mailing address
921 N Lake Shore Dr
Culver, IN 46511-1207
Registry dates
- Enumerated
- 2007-03-16
- Last updated
- 2018-06-21
Frequently asked questions
- What is Lake Shore Clinic's NPI number?
- Lake Shore Clinic's National Provider Identifier (NPI) is 1366566424, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lake Shore Clinic?
- Lake Shore Clinic is classified in the NPPES registry as Clinic/Center (Ambulatory Health Care Facilities).
- Where is Lake Shore Clinic located?
- Lake Shore Clinic's practice location on file with NPPES is 921 N Lake Shore Dr, Culver, IN 46511-1207.
- What is Lake Shore Clinic's phone number?
- The practice phone number listed in the NPPES registry for Lake Shore Clinic is (574) 842-4330.
- Who is the authorized official for Lake Shore Clinic?
- The authorized official listed on Lake Shore Clinic's NPPES record is Judith Deery, Business Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lake Shore Clinic's NPI active?
- Yes — Lake Shore Clinic's NPI (1366566424) is active in the NPPES registry as of the last update on 2018-06-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.