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Munster Medical Research Foundation Inc

Organization Active NPI General Acute Care Hospital · Munster, IN

NPI 1003918210 · NPPES record last updated Jul 11, 2024

Key facts

NPI
1003918210
Entity type
Organization (NPI type 2)
Primary specialty
General Acute Care Hospital 282N00000X
License
05-005108-1 (IN)
Legal business name
MUNSTER MEDICAL RESEARCH FOUNDATION INC
Practice address
901 Macarthur Blvd
Munster, IN 46321-2901
Phone
(219) 836-1600
Fax
(219) 934-8889
NPI assigned
Sep 1, 2006
Organization subpart
No

Authorized official

Name
Mrs. Char Kullerstrand
Title
Regional Director
Phone
(219) 934-8999

Owners & managing parties with NPI records 4

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Facilities with the same owner 4

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Affiliated clinicians 1,065

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 1,065

Medicare Care Compare: Hospital

Listed as
Community Hospital CCN 150125
Overall star rating
★★★☆☆ 3 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
Active (Provider of Services file)
Emergency services
Yes

Source: Medicare Care Compare.

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in IN

Hospital certification: CCN 150125

Legal name
MUNSTER MEDICAL RESEARCH FOUNDATION INC
Doing business as
COMMUNITY HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Oct 3, 1973
Last certification
Aug 19, 2004
Beds
437
Ownership / control type
Private (not for profit)
Organization structure
Corporation · Non-profit
Incorporated
Oct 3, 1973 in IN
Enrollment address
901 Macarthur Blvd
Munster, IN 46321-2901
Other Hospital Practice Location
Hospital subgroups
General, Acute care

All disclosed owners & managing parties 22

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Bruce R Yalowitz
Individual 		Corporate Director
Director		 Jul 1, 2019
Steve Pestikas
Individual 		Corporate Director Jul 1, 2013
Steven Chovanec
Individual 		Corporate Director Jul 1, 2004
David Bochnowski
Individual 		Corporate Director
Bod Treasurer		 Jul 1, 1990
Frankie Fesko
Individual 		Corporate Director Jul 1, 1982
Michael Purcell
Individual 		Corporate Director Jul 1, 2016
Constantine Dovellos
Individual 		Corporate Director
Director		 Jul 1, 2020
Michael Mellon
Individual 		Corporate Director Jul 1, 2016
Ingrid Wolf
Individual 		Corporate Director
Director		 Jul 1, 2020
David Wickland
Individual 		Corporate Director
Bod President		 Jul 1, 1991
Raymond Arthur Neiswonger
Individual 		Corporate Officer
Chief Executive Officer		 Jul 9, 2022
W-2 Managing Employee Jul 9, 2022
Daniel O'Brien
Individual 		Corporate Officer
Chief Financial Officer		 Jul 5, 2016
W-2 Managing Employee Jul 5, 2016
Nitin S Sardesai
Individual 		Corporate Director Jul 1, 2008
Sandi Merlo
Individual 		Corporate Director
Director		 Dec 1, 2021
Amy Han
Individual 		Corporate Director Jul 1, 2022
Community Foundation of Northwest Indiana, Inc
Organization · Munster, IN
Non-profit 		5% Or Greater Direct Ownership Interest Jan 7, 1985 100%
Thomas Brubaker
Individual 		Corporate Director Jul 1, 1990
Eric a Compton
Individual 		Corporate Director
Bod Secretary		 Jul 1, 2016
Donald Fesko
Individual 		Other Jul 1, 2016
William Hasse
Individual 		Corporate Director Jul 1, 2008
M. Nabil Shabeeb
Individual 		Corporate Director Jul 1, 1997
Donald Torrenga
Individual 		Corporate Director Jul 1, 2009

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Community Home Health Services
Munster, IN · CCN 157487		 Home health agency Operational/Managerial Control (100%) Aug 1, 1996

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20040623000905 IN Part B Supplier - Clinic/Group Practice 8123913183 Receives reassigned benefits from 2 practitioners
18 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Munster, IN
O20050901000138 IN Part a Provider - Hospital 8123913183 Practice locations: Munster, IN; Schererville, IN; Saint John, IN

National Provider Directory

Networks

  • IL HMO C-SNP

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 05-005108-1 IN Yes

Addresses

Primary practice location

901 Macarthur Blvd
Munster, IN 46321-2901

Mailing address

PO Box 3602
Munster, IN 46321-0756
Phone (219) 934-8888

Other identifiers

IdentifierTypeStateIssuer
100270570MedicaidIN

Other names

  • Community Hospital Doing business as

Other providers in Munster, IN

All providers in Munster, IN · General Acute Care Hospital in Indiana

Sources for this page

Verify at the official NPI Registry.