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General NPI Number Information
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NPI Number | 1316172646
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Entity Type | Organization
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Legal Business Name | ST CATHERINE HOSPTIAL INC
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Dates
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Enumeration Date | 05/15/2009
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Last Update Date | 07/11/2024
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Provider Practice Location Address
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Address Line | 4320 FIR ST STE 201
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City | EAST CHICAGO
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State | IN
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Zip | 46312-3052
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Country | US
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Telephone | 219-392-7664
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Fax | 219-392-7980
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Provider Business Mailing Address
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Address Line | 4320 FIR ST STE 201
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City | EAST CHICAGO
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State | IN
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Zip | 46312-3052
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Country | US
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Telephone | 219-392-7664
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Fax | 219-392-7980
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Authorized Official
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Title or Position | CEO
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Name | LEOBARDO CORREA
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Credential |
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Telephone | 219-392-1700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number | 01065445A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number |
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License Number State |
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