Porter-starke Services, Inc. | |
704 S State Road 2 Hebron IN 46341-8801 | |
(219) 806-3011 | |
Not Available |
Full Name | Porter-starke Services, Inc. |
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Speciality | Clinic/Center |
Location | 704 S State Road 2, Hebron, Indiana |
Authorized Official Name and Position | Aileen Wehren (VP SYSEM ADMINISTRATION) |
Authorized Official Contact | 2194764567 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Porter-starke Services, Inc. 601 Wall St Valparaiso IN 46383-2512 Ph: (219) 806-3011 | Porter-starke Services, Inc. 704 S State Road 2 Hebron IN 46341-8801 Ph: (219) 806-3011 |
NPI Number | 1447815758 |
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Provider Enumeration Date | 05/02/2019 |
Last Update Date | 05/02/2019 |
Medicare PECOS PAC ID | 1951293554 |
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Medicare Enrollment ID | O20190508000158 |
Identifier | Type | State | Issuer |
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1447815758 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Dedicated Family Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 117 N Main St, Hebron, IN 46341 Phone: 219-509-3383 Fax: 219-509-3389 |