Provider Demographics
NPI:1164413498
Name:ST CATHERINE HOSPITAL INC
Entity Type:Organization
Organization Name:ST CATHERINE HOSPITAL INC
Other - Org Name:ST CATHERINE CARE NETWORK
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JOANN
Authorized Official - Middle Name:
Authorized Official - Last Name:BIRDZELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:219-392-1700
Mailing Address - Street 1:9660 WICKER AVE
Mailing Address - Street 2:
Mailing Address - City:ST JOHN
Mailing Address - State:IN
Mailing Address - Zip Code:46373-9487
Mailing Address - Country:US
Mailing Address - Phone:219-844-9060
Mailing Address - Fax:219-844-6912
Practice Address - Street 1:3432 - 169TH STR
Practice Address - Street 2:
Practice Address - City:HAMMOND
Practice Address - State:IN
Practice Address - Zip Code:46323-2542
Practice Address - Country:US
Practice Address - Phone:219-844-9060
Practice Address - Fax:219-844-6912
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ST CATHERINE HOSPITAL INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2005-11-04
Last Update Date:2011-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Multi-Specialty
No207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Multi-Specialty
No207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngologyGroup - Multi-Specialty
No208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Multi-Specialty
No208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN1750362901OtherNPI
IN1598756827OtherNPI
IN1356332662OtherNPI
IN200324900Medicaid
IN1427194257OtherNPI
IN1598756819OtherNPI
IN1437133220OtherNPI
IN1588656995OtherNPI
IN1790810448OtherNPI
IN1598756819OtherNPI