Provider Demographics
NPI:1043529472
Name:ST CATHERINE HOSPITAL INC
Entity Type:Organization
Organization Name:ST CATHERINE HOSPITAL INC
Other - Org Name:ST CATHERINE CARE NETWORK
Other - Org Type:Other Name
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:LEOBARDO
Authorized Official - Middle Name:
Authorized Official - Last Name:CORREA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:219-392-1700
Mailing Address - Street 1:3924 MAIN ST
Mailing Address - Street 2:STE 202
Mailing Address - City:EAST CHICAGO
Mailing Address - State:IN
Mailing Address - Zip Code:46312-2990
Mailing Address - Country:US
Mailing Address - Phone:219-397-2008
Mailing Address - Fax:219-398-1339
Practice Address - Street 1:3924 MAIN ST
Practice Address - Street 2:STE 202
Practice Address - City:EAST CHICAGO
Practice Address - State:IN
Practice Address - Zip Code:46312-2990
Practice Address - Country:US
Practice Address - Phone:219-397-2008
Practice Address - Fax:219-398-1339
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ST CATHERINE HOSPITAL INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-10-04
Last Update Date:2024-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Multi-Specialty