NPIMap

Organization Active NPI

Porter-Starke Services Inc.

  • Federally Qualified Health Center (FQHC)
  • Valparaiso, IN
National Provider Identifier
1659196236
Registry record updated Dec 13, 2024
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.
Practice address
701 Wall St
Valparaiso, IN 46383-2514
Phone
(219) 476-4646
NPI assigned
Nov 19, 2024
Last updated
Dec 13, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2024

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

Authorized official

Name
Kate Sanders
Title
VP Systems Administration
Phone
(219) 476-4664

Specialties & licenses 1

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

Addresses

Primary practice location

701 Wall St
Valparaiso, IN 46383-2514

Mailing address

601 Wall St
Valparaiso, IN 46383-2512

Other names 1

  • MARRAM HEALTH CENTER VALPARAISO Other name

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
O20250203003244 IN Part A Provider - Federally Qualified Health Center (FQHC) 1951293554 Practice locations: Valparaiso, IN

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1659196236. Details of each certification follow.

Federally qualified health center certification: CCN C51085

Legal name
PORTER-STARKE SERVICES INC
Doing business as
MARRAM HEALTH CENTER VALPARAISO
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jan 31, 2025
Last certification
Jan 31, 2025
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Enrollment address
701 Wall St
Valparaiso, IN 46383-2514

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

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

3229 Broadway
Ste 160
Gary, IN 46409
Phone (219) 806-3011

1003 S Edgewood Dr
Knox, IN 46534
Phone (574) 722-4040

210 Aberdeen Dr
Valparaiso, IN 46385
Phone (219) 447-6902

Ownership & related parties

All disclosed owners & managing parties 18

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 23, 2025
Operational/Managerial ControlVP, Marram Health Centers Jan 23, 2025
Andrew Nielsen Individual Corporate OfficerChief Financial Officer Jan 23, 2025
W-2 Managing EmployeeChief Financial Officer Jan 23, 2025
Lisa Scheller Individual Corporate DirectorBoard Member Mar 24, 2026
Vanessa Allen-McCloud Individual Corporate DirectorBoard Member Jan 23, 2025
Mary Elizabeth Kominiak Individual Corporate DirectorBoard Member Jan 23, 2025
Robert Bryant Individual Corporate DirectorBoard Member Jan 23, 2025
Otto Shragal Individual Corporate DirectorBoard Member Mar 24, 2026
Andrew Zromkoski Individual Corporate DirectorBoard Member Jan 23, 2025
Mark Goodrich Individual Corporate OfficerVP, Human Resources Jan 23, 2025
W-2 Managing EmployeeVP, Human Resources Jan 23, 2025
Operational/Managerial ControlVP, Human Resources Jan 23, 2025
Kate Sanders Individual Corporate OfficerVP Systems Administration Jan 23, 2025
W-2 Managing EmployeeVP Systems Administration Jan 23, 2025
Chad Nally Individual Corporate DirectorBoard Member Jan 23, 2025
Sharron Liggins Individual Corporate DirectorBoard Member Jan 23, 2025
Judith Jelinek Individual Corporate DirectorBoard Member Jan 23, 2025
Sandra Ruth Carlson Individual Corporate OfficerVP, Clinical Services Jan 23, 2025
W-2 Managing EmployeeVP, Clinical Services Jan 23, 2025
Operational/Managerial ControlVP, Clinical Services Jan 23, 2025
Susan Kelly-Johnson Individual Corporate DirectorBoard Member Jan 23, 2025
Irene Szakonyi Individual Corporate DirectorBoard Member Sep 2, 2025
Michael Weaver Individual Corporate OfficerVP, Medical Director Jan 23, 2025
W-2 Managing EmployeeVP, Medical Director Jan 23, 2025
Operational/Managerial ControlVP, Medical Director Jan 23, 2025
Matthew Burden Individual Corporate OfficerPresident/Ceo Jan 23, 2025
W-2 Managing EmployeePresident/Ceo Jan 23, 2025
Operational/Managerial ControlPresident/Ceo Jan 23, 2025

All facility ownership & control disclosures 3

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
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 3

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

Practitioners & affiliated clinicians

Practitioners 109

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 109

NPI Registry JSON

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

{
    "created_epoch": "1731974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734048000000",
    "number": "1659196236",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 WALL ST",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463832514",
            "telephone_number": "219-476-4646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORTER-STARKE SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-19",
        "last_updated": "2024-12-13",
        "certification_date": "2024-12-13",
        "status": "A",
        "authorized_official_last_name": "SANDERS",
        "authorized_official_first_name": "KATE",
        "authorized_official_title_or_position": "VP SYSTEMS ADMINISTRATION",
        "authorized_official_telephone_number": "219-476-4664"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MARRAM HEALTH CENTER VALPARAISO",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Valparaiso, IN

Sources for this page

Verify at the official NPI Registry.