Healthcare Provider Details

I. General information

NPI: 1073826780
Provider Name (Legal Business Name): INDIANA UNIVERSITY HEALTH STARKE HOSPITAL LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/22/2010
Last Update Date: 10/13/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

102 EAST CULVER ROAD
KNOX IN
46534-2216
US

IV. Provider business mailing address

75 REMIT DRIVE #1243
CHICAGO IL
60675-1243
US

V. Phone/Fax

Practice location:
  • Phone: 571-772-6231
  • Fax:
Mailing address:
  • Phone: 866-916-5259
  • Fax: 231-922-4030

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number
License Number State

VIII. Authorized Official

Name: LINDA SATKOSKI
Title or Position: CEO
Credential:
Phone: 866-916-5259