| Porter-starke Services, Inc. | |
|
704 S State Road 2 Hebron IN 46341-8801 | |
| (219) 806-3011 | |
| Not Available |
| Full Name | Porter-starke Services, Inc. |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 05/02/2019 |
| Last Update Date | 05/02/2019 |
| Medicare PECOS PAC ID | 1951293554 |
|---|---|
| Medicare Enrollment ID | O20190508000158 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447815758 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 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 |