NPIMap

Organization Active NPI

Porter-Starke Services Inc.

Doing business as Marram Health Center

  • Federally Qualified Health Center (FQHC)
  • Gary, IN
National Provider Identifier
1023485356
Registry record updated Jul 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
PORTER-STARKE SERVICES INC.
Doing business as
Marram Health Center
Practice address
3229 Broadway Ste 115
Gary, IN 46409-1040
Phone
(219) 531-3500
NPI assigned
Aug 21, 2015
Last updated
Jul 29, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Aileen Wehren, EDD
Title
Vice President
Phone
(219) 476-4567

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

3229 Broadway Ste 115
Gary, IN 46409-1040

Mailing address

601 Wall St
Valparaiso, IN 46383-2512
Phone (219) 531-3500

Other identifiers 1

IdentifierTypeStateIssuer
151013OtherINMEDICARE FQHC

Other names 1

  • Marram Health Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20040330000098 IN Part B Supplier - Clinic/Group Practice 1951293554 Receives reassigned benefits from 108 practitioners
6 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Valparaiso, IN; Portage, IN; Knox, IN; Gary, IN; Hebron, IN
O20150908001533 IN Part A Provider - Federally Qualified Health Center (FQHC) 1951293554 Practice locations: Gary, IN
O20161110002598 IN Part A Provider - Federally Qualified Health Center (FQHC) 1951293554 Practice locations: Gary, IN

NPI to CCN mapping 2

The Medicare certification numbers (CCNs) connected to NPI 1023485356. Details of each certification follow.

Federally qualified health center certification: CCN 151956

Legal name
PORTER-STARKE SERVICES INC
Doing business as
MARRAM HEALTH CENTER
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Sep 4, 2015
Last certification
Sep 4, 2015
Ownership / control type
For profit – partnership
Organization structure
CorporationNon-profit
Enrollment address
3229 Broadway
Ste 205
Gary, IN 46409-1038

Federally qualified health center certification: CCN 151013

Legal name
PORTER-STARKE SERVICES INC
Doing business as
MARRAM HEALTH CENTER DENTAL CLINIC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Oct 28, 2016
Last certification
Oct 28, 2016
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Enrollment address
3229 Broadway
Ste 115
Gary, IN 46409-1040

Other NPIs with the same Medicare PAC ID 7

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

Other NPIs on the same Medicare enrollment 6

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

National Provider Directory

National Provider Directory
Tax ID family
Porter Starke Services11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3229 Broadway
Ste 102
Gary, IN 46409
Phone (219) 806-3011

704 S State Road 2
Hebron, IN 46341
Phone (219) 806-3011

1230 W State Road 2
Ste B
La Porte, IN 46350
Phone (219) 362-2145

Ownership & related parties

All disclosed owners & managing parties 19

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

NameRoleSinceShare
Clarence Boykin Individual Corporate OfficerVP, Marram Health Centers Jan 16, 2018
W-2 Managing EmployeeVP, Marram Health Centers Jan 16, 2018
Andrew Nielsen Individual Corporate OfficerCfo Jan 16, 2018
W-2 Managing EmployeeCfo Jan 16, 2018
Corporate OfficerChief Financial Officer Jan 1, 2022
Porter-Starke Services Inc Organization, Gary, IN Corporation 5% Or Greater Direct Ownership Interest Aug 27, 2015 100%
Lisa Scheller Individual Corporate DirectorBoard Member Mar 24, 2026
Vanessa Allen-McCloud Individual Corporate DirectorBoard Member Jan 28, 2025
Mary Elizabeth Kominiak Individual Corporate DirectorBoard Member Jan 28, 2025
Robert Bryant Individual Corporate DirectorBoard Member Jan 28, 2025
Otto Shragal Individual Corporate DirectorBoard Member Mar 24, 2026
Andrew Zromkoski Individual Corporate DirectorBoard Member Jan 28, 2025
Mark Goodrich Individual Corporate OfficerVP, Human Resources Jan 16, 2018
W-2 Managing EmployeeVP, Human Resources Jan 16, 2018
Kate Sanders Individual Corporate OfficerVP, Systems Administration Jan 16, 2018
W-2 Managing EmployeeVP, Systems Administration Jan 16, 2018
Chad Nally Individual Corporate DirectorBoard Member Jan 28, 2025
Sharron Liggins Individual Corporate DirectorBoard Member Jan 28, 2025
Judith Jelinek Individual Corporate DirectorBoard Member Jan 28, 2025
Sandra Ruth Carlson Individual Corporate OfficerVP, Clinical Services Jan 16, 2018
W-2 Managing EmployeeVP, Clinical Services Jan 16, 2018
Susan Kelly-Johnson Individual Corporate DirectorBoard Member Jan 28, 2025
Irene Szakonyi Individual Corporate DirectorBoard Member Sep 2, 2025
Michael Weaver Individual Corporate OfficerVP, Medical Services Jan 16, 2018
W-2 Managing EmployeeVP, Medical Services Jan 16, 2018
Matthew Burden Individual Corporate OfficerCeo Dec 29, 2017
W-2 Managing EmployeeCeo Dec 29, 2017
Operational/Managerial ControlCeo Dec 29, 2017
Corporate OfficerCeo Jan 16, 2018
W-2 Managing EmployeeCeo Jan 16, 2018
Operational/Managerial ControlCeo Jan 16, 2018

Owners & managing parties with NPI records 7

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

All facility ownership & control disclosures 2

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

FacilityTypeRoleSince
Porter Starke Services IncValparaiso, IN, CCN 154052 Hospital Operational/Managerial Control
Other		 Jul 24, 1967
Jul 24, 1967
Marram Health CenterHebron, IN, CCN 151051 Federally qualified health center 5% Or Greater Direct Ownership Interest Jul 24, 1967

Owned or controlled facilities with NPI records 2

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

Facilities with the same owner 2

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

Practitioners & affiliated clinicians

Practitioners 23

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 23

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1440115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564358400000",
    "number": "1023485356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 WALL ST",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463832512",
            "telephone_number": "219-531-3500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3229 BROADWAY STE 115",
            "city": "GARY",
            "state": "IN",
            "postal_code": "464091040",
            "telephone_number": "219-531-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORTER-STARKE SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-21",
        "last_updated": "2019-07-29",
        "status": "A",
        "authorized_official_last_name": "WEHREN",
        "authorized_official_first_name": "AILEEN",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "219-476-4567",
        "authorized_official_credential": "EDD"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE FQHC",
            "identifier": "151013",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Marram Health Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Marram Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gary, IN

Sources for this page

Verify at the official NPI Registry.