Healthcare Provider Details

I. General information

NPI: 1689503476
Provider Name (Legal Business Name): ST CATHERINE HOSPTIAL INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/18/2026
Last Update Date: 05/18/2026
Certification Date: 05/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

801 MACARTHUR BLVD STE 102
MUNSTER IN
46321-2916
US

IV. Provider business mailing address

801 MACARTHUR BLVD STE 102
MUNSTER IN
46321-2916
US

V. Phone/Fax

Practice location:
  • Phone: 219-836-2480
  • Fax: 219-836-0560
Mailing address:
  • Phone: 219-836-2480
  • Fax: 219-836-0560

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: CHAR KULLERSTRAND
Title or Position: VP REVENUE CYCLE
Credential:
Phone: 219-934-8888