PORTER STARKE SERVICES INC (NPI# 1003371220) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1003371220 |
Entity Type | Organization |
Organization Name | PORTER STARKE SERVICES INC |
Practice Address |
Marram Health Center 3229 Broadway Suite 160 Gary IN 46409-1040 |
Mailing Address |
601 Wall St Valparaiso IN 46383-2512 |
Practice Telephone | 2198063011 |
Mailing Telephone | 2198063011 |
Enumeration Date | 2019-02-01 |
Last Update Date | 2019-02-01 |
Authorized Official Name | AILEEN WEHREN (VP SYSTEMS ADMINISTRATION) |
Authorized Official Telephone | 2194764567 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
MARRAM HEALTH CENTER | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982726220 | Porter Starke Services Inc | Clinic/Center | 601 Wall St, Valparaiso, IN 46383-2512 | 2007-04-06 |
1497807572 | Porter Starke Services Inc | Psychiatric Hospital | 701 Wall St, Valparaiso, IN 46383-2514 | 2007-01-17 |
Street Address |
MARRAM HEALTH CENTER 3229 BROADWAY SUITE 160 |
City | GARY |
State | IN |
Zip Code | 46409-1040 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316027998 | Nhi Home Base Service Corp. | Clinic/Center | 4795 Broadway, Gary, IN 46409 | 2006-10-17 |
1164891404 | Megan Burgess | Counselor | 4795 Broadway, Gary, IN 46409 | 2015-09-16 |
1366677213 | Merideth Krashonda Owens | Counselor | 4795 Broadway, Gary, IN 46409 | 2009-05-21 |
1548530439 | Sibis Counseling Center LLC | Counselor | 3195 Broadway Lowr Level, Gary, IN 46409-1006 | 2012-01-09 |
1750303343 | Adolphus A Anekwe | Specialist | 3195 Broadway, Gary, IN 46409-1006 | 2006-07-24 |
1215219084 | Broadway Dental Services | Dentist | 3195 Broadway, Gary, IN 46409-1006 | 2011-09-16 |
1528392156 | Tonya A. Harvey | Nurse Practitioner | 3195 Broadway, Gary, IN 46409-1006 | 2009-09-29 |
1629196761 | Broadway Medical Corporation, PC | Specialist | 3195 Broadway, Gary, IN 46409-1006 | 2007-03-27 |
1023166758 | Frank Edward Pate | Dentist | 3195 Broadway, Gary, IN 46409-1006 | 2007-01-08 |
1528173853 | Edwin Kenneth Mcdonald IIi | Dentist | 3195 Broadway, Gary, IN 46409-1006 | 2006-08-19 |
Find all providers in zip 46409 |
Taxonomy Code | 261QF0400X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Federally Qualified Health Center (FQHC) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548861313 | Edgewater Systems for Balanced Living, Inc | Clinic/Center | 1100 W 5th Ave, Gary, IN 46402-1723 | 2020-11-06 |
1891262762 | Community Healthnet Inc | Clinic/Center | 3503 Martin Luther King Drive, Community Healthnet Inc - East, Gary, IN 46409-1233 | 2018-10-30 |
1023485356 | Porter-starke Services Inc. | Clinic/Center | 3229 Broadway Ste 115, Gary, IN 46409-1040 | 2015-08-21 |
1548382435 | Tug River Health Association | Clinic/Center | Rt 103 Supply St, Gary, WV 24836 | 2007-04-04 |
1922184266 | Tug River Health Association, Inc | Clinic/Center | Route 103 Supply St., Gary, WV 24836 | 2006-10-30 |
1174501068 | Tug River Health Association, Inc | Clinic/Center | Us Rt 52 Main Street, Gary, WV 24836 | 2006-01-03 |
1407457591 | Edgewater Systems for Balanced Living, Inc | Clinic/Center | 3535 Broadway, Gary, IN 46409-1316 | 2020-11-04 |
1598316978 | Edgewater Systems for Balanced Living, Inc | Clinic/Center | 1100 W 6th Ave, Gary, IN 46402-1711 | 2019-09-26 |
1639578065 | Tug River Health Association, Inc. | Clinic/Center | Rr 103 Supply Street, Gary, WV 24836-0507 | 2014-08-21 |
1497007876 | Community Healthnet | Clinic/Center | 1015 N Shelby St, Gary, IN 46403-1446 | 2012-10-09 |
Find all providers in GARY |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.