Provider Demographics
NPI:1689905440
Name:ST. CATHERINE HOSPITAL OCCUPATIONAL HEALTH
Entity Type:Organization
Organization Name:ST. CATHERINE HOSPITAL OCCUPATIONAL HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF MANAGED CARE
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:HILBURGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:219-392-7064
Mailing Address - Street 1:4321 FIR ST STE 313
Mailing Address - Street 2:
Mailing Address - City:EAST CHICAGO
Mailing Address - State:IN
Mailing Address - Zip Code:46312-3049
Mailing Address - Country:US
Mailing Address - Phone:219-392-7562
Mailing Address - Fax:219-392-7529
Practice Address - Street 1:4321 FIR ST STE 313
Practice Address - Street 2:
Practice Address - City:EAST CHICAGO
Practice Address - State:IN
Practice Address - Zip Code:46312-3049
Practice Address - Country:US
Practice Address - Phone:219-392-7562
Practice Address - Fax:219-392-7529
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ST. CATHERINE HOSPITAL
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-01-19
Last Update Date:2010-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QX0100XAmbulatory Health Care FacilitiesClinic/CenterOccupational Medicine