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PORTER-STARKE SERVICES INC. NPI 1194473595


NPI Information

NPI: 1194473595
Provider Name: PORTER-STARKE SERVICES INC.

Doing Business As: MARRAM HEALTH CENTER SUITE 104

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
3229 BROADWAY STE 104
GARY, IN
ZIP 46409
Phone: (219) 806-3000
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PORTER-STARKE SERVICES INC. is a federally qualified health center (fqhc) clinic center in Gary, IN. PORTER-STARKE SERVICES INC. NPI is 1194473595. The provider is registered as an organization entity type.
The provider Is Doing Business As Marram Health Center Suite 104.

The provider's business location address is:

3229 BROADWAY STE 104
GARY, IN
ZIP 46409-041
Phone: (219) 806-3000

The provider's authorized official is Kate Sanders .
The authorized official title is Vp Systems Administration and has the following contact phone number (219) 476-4664.

The enumeration date for this NPI number is 3/15/2022 and was last updated on 7/7/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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