Porter-Starke Services INC.
Clinic/Center, Federally Qualified Health Center (FQHC) in Gary, IN. Organization (NPI-2).
NPI number1194473595
StatusActive
Last updated in NPPESJul 7, 2022
Details
- NPI
- 1194473595
- Entity type
- Organization (NPI-2)
- Legal business name
- Porter-Starke Services INC.
- Organization subpart
- No
- Enumeration date
- Mar 15, 2022
- Certification date
- Jul 7, 2022
- Last updated
- Jul 7, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QF0400X | Clinic/Center, Federally Qualified Health Center (FQHC) | – | – | Yes |
Other names
- Marram Health Center Suite 104 (Doing Business As)
Practice location
3229 Broadway Ste 104Gary, IN 46409-1041
Phone 219-806-3000
Mailing address
601 Wall StValparaiso, IN 46383-2512
Phone 219-806-3000
Authorized official
Kate Sanders
Vp Systems Administration
2194764664
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