NPIMap

Organization Active NPI

Porter-Starke Services, Inc.

Doing business as Marram Health Center

  • Federally Qualified Health Center (FQHC)
  • Hebron, IN
National Provider Identifier
1447815758
Registry record updated May 2, 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
704 S State Road 2
Hebron, IN 46341-8801
Phone
(219) 806-3011
NPI assigned
May 2, 2019
Last updated
May 2, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2019

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

Authorized official

Name
Aileen Wehren
Title
VP Sysem Administration
Phone
(219) 476-4567

Specialties & licenses 1

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

Addresses

Primary practice location

704 S State Road 2
Hebron, IN 46341-8801

Mailing address

601 Wall St
Valparaiso, IN 46383-2512
Phone (219) 806-3011

Other names 1

  • Marram Health Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN2 enrollments

Enrollment records 2

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
O20190508000158 IN Part A Provider - Federally Qualified Health Center (FQHC) 1951293554 Practice locations: Hebron, IN

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1447815758. Details of each certification follow.

Federally qualified health center certification: CCN 151051

Legal name
PORTER-STARKE SERVICES INC
Doing business as
MARRAM HEALTH CENTER
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
May 8, 2019
Last certification
May 8, 2019
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Enrollment address
704 S State Road 2
Hebron, IN 46341-8801

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 Services Inc11 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

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

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
Porter-Starke Services Inc Organization, Valparaiso, IN Corporation, Non-profit 5% Or Greater Direct Ownership Interest Jul 24, 1967
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, Clinical Services 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 Officer Dec 29, 2017
W-2 Managing Employee Dec 29, 2017
Operational/Managerial Control Dec 29, 2017

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 CenterGary, IN, CCN 151956 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Aug 27, 2015

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 16

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 16

NPI Registry JSON

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

{
    "created_epoch": "1556755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556755200000",
    "number": "1447815758",
    "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": "219-806-3011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "704 S STATE ROAD 2",
            "city": "HEBRON",
            "state": "IN",
            "postal_code": "463418801",
            "telephone_number": "219-806-3011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORTER-STARKE SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-02",
        "last_updated": "2019-05-02",
        "status": "A",
        "authorized_official_last_name": "WEHREN",
        "authorized_official_first_name": "AILEEN",
        "authorized_official_title_or_position": "VP SYSEM ADMINISTRATION",
        "authorized_official_telephone_number": "219-476-4567"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Marram Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hebron, IN

Sources for this page

Verify at the official NPI Registry.