| Porter-starke Services, Inc. | |
|
601 Wall St Valparaiso IN 46383-2512 | |
| (219) 531-3500 | |
| Not Available |
| Full Name | Porter-starke Services, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 601 Wall St, Valparaiso, Indiana |
| Authorized Official Name and Position | Rocco Schirrali (CEO) |
| Authorized Official Contact | 2195313500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Porter-starke Services, Inc. 601 Wall St Valparaiso IN 46383-2512 Ph: (219) 531-3500 | Porter-starke Services, Inc. 601 Wall St Valparaiso IN 46383-2512 Ph: (219) 531-3500 |
| NPI Number | 1144546490 |
|---|---|
| Provider Enumeration Date | 04/12/2010 |
| Last Update Date | 04/12/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144546490 | NPI | - | NPPES |
| 2008716590A | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 33005202A (Indiana) | Primary |
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