NPIMap

Organization Active NPI

St Catherine Hospital Inc

  • General Acute Care Hospital
  • East Chicago, IN
National Provider Identifier
1689776882
Registry record updated Jul 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
050050081 Issued in IN
Legal business name
ST CATHERINE HOSPITAL INC
Practice address
4321 Fir St
East Chicago, IN 46312-3049
Phone
(219) 392-1700
Fax
(219) 934-8889
NPI assigned
Sep 1, 2006
Last updated
Jul 11, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2024

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

Authorized official

Name
Mrs. Char Kullerstrand
Title
Regional Director
Phone
(219) 934-8994

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 050050081 IN Primary

Addresses

Primary practice location

4321 Fir St
East Chicago, IN 46312-3049

Mailing address

4321 Fir St
East Chicago, IN 46312-3049
Phone (219) 934-8888

Other identifiers 1

IdentifierTypeStateIssuer
100268310MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071201000010 IN Part A Provider - Hospital 1052225604 Practice locations: Munster, IN; Hobart, IN; East Chicago, IN

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1689776882. Details of each certification follow.

Hospital certification: CCN 150008

Legal name
ST CATHERINE HOSPITAL INC
Doing business as
POWERS HEALTH
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Mar 6, 2014
Beds
189
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Enrollment address
4321 Fir St
East Chicago, IN 46312-3049
Main/Primary Hospital Location
Hospital subgroups
General, Acute care

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 3

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

Care Compare: Hospital

Medicare Care Compare
Listed as
St Catherine Hospital IncCCN 150008 · All quality measures
Overall star rating
4 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Locations

9054 Columbia Ave
Munster, IN 46321
Phone (219) 440-5350

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
Luis Molina Individual Corporate DirectorDirector Jul 1, 2022
Karen Bishop Morris Individual Corporate Director Aug 1, 2018
Jeffrey D Strack Individual Corporate Director May 1, 2018
R L Gonzalez Individual Corporate Director Jul 1, 2007
Rita Jacque Gillis Individual Corporate Director Jul 1, 2013
John Artis Individual Corporate Director Jul 1, 2011
Victor H Prasco Individual Corporate Director Jul 1, 2018
George Ryan Individual Corporate DirectorBod Secretary Jul 1, 2011
Daniel O'Brien Individual Corporate OfficerCfo Jul 1, 2025
W-2 Managing Employee Jul 1, 2025
Edward Williams Individual Corporate DirectorBod President Jan 1, 1994
Leo Correa Individual Corporate OfficerCeo Feb 13, 2017
W-2 Managing Employee Feb 13, 2017
Maria Luz Corona Individual Corporate DirectorBod Vice President Jul 1, 2018
Annemarie Kampwerth Individual Corporate DirectorDirector Jul 1, 2022
Wassim Shwaiki Individual Corporate Director Jul 1, 2013
John Caban Individual Corporate DirectorBod Treasurer Nov 9, 2007
Community Foundation of Northwest Indiana, Inc Organization, Munster, IN Corporation, Non-profit, Chain home office 5% Or Greater Direct Ownership Interest Oct 17, 2001 100%
Vatsal K Patel Individual Corporate DirectorMed Staff President Jul 1, 2021
Judy Gresko Individual Corporate Director Jul 1, 2008
Marisela Varela Individual Corporate DirectorDirector Jul 1, 2013

Owners & managing parties with NPI records 3

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

Facilities with the same owner 4

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

Practitioners & affiliated clinicians

Affiliated clinicians 460

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

View all 460

NPI Registry JSON

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

{
    "created_epoch": "1157068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720656000000",
    "number": "1689776882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4321 FIR ST",
            "city": "EAST CHICAGO",
            "state": "IN",
            "postal_code": "463123049",
            "telephone_number": "219-934-8888",
            "fax_number": "219-934-8889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4321 FIR ST",
            "city": "EAST CHICAGO",
            "state": "IN",
            "postal_code": "463123049",
            "telephone_number": "219-392-1700",
            "fax_number": "219-934-8889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST CATHERINE HOSPITAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-01",
        "last_updated": "2024-07-11",
        "certification_date": "2024-07-11",
        "status": "A",
        "authorized_official_last_name": "KULLERSTRAND",
        "authorized_official_first_name": "CHAR",
        "authorized_official_title_or_position": "REGIONAL DIRECTOR",
        "authorized_official_telephone_number": "219-934-8994",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "IN",
            "license": "050050081",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100268310",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Chicago, IN

Sources for this page

Verify at the official NPI Registry.