NPIMap

Organization Active NPI

St. Catherine Hospital Occupational Health

  • Occupational Medicine Clinic/Center
  • East Chicago, IN
National Provider Identifier
1689905440
Registry record updated Jul 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine Clinic/CenterTaxonomy code 261QX0100X
Legal business name
ST. CATHERINE HOSPITAL OCCUPATIONAL HEALTH
Practice address
4321 Fir St Ste 313
East Chicago, IN 46312-3049
Phone
(219) 392-7562
Fax
(219) 392-7529
NPI assigned
Jan 19, 2010
Last updated
Jul 11, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
ST. CATHERINE HOSPITALAs reported in NPPES

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
Mr. Kevin Mybeck
Title
Director of Managed Care
Phone
(219) 392-7064

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Medicine Clinic/Center 261QX0100X NU Primary

Addresses

Primary practice location

4321 Fir St Ste 313
East Chicago, IN 46312-3049

Mailing address

4321 Fir St Ste 313
East Chicago, IN 46312-3049
Phone (219) 392-7562

National Provider Directory

National Provider Directory
Tax ID family
St Catherine Hosp8 organizations share this tax ID, including this one
Part of
St Catherine Hosp

Other organizations with this tax ID 7

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

Locations

4321 Fir St
Ste 313
East Chicago, IN 46312
Phone (219) 392-7424

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1263859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720656000000",
    "number": "1689905440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4321 FIR ST STE 313",
            "city": "EAST CHICAGO",
            "state": "IN",
            "postal_code": "463123049",
            "telephone_number": "219-392-7562",
            "fax_number": "219-392-7529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4321 FIR ST STE 313",
            "city": "EAST CHICAGO",
            "state": "IN",
            "postal_code": "463123049",
            "telephone_number": "219-392-7562",
            "fax_number": "219-392-7529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. CATHERINE HOSPITAL OCCUPATIONAL HEALTH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ST. CATHERINE HOSPITAL",
        "enumeration_date": "2010-01-19",
        "last_updated": "2024-07-11",
        "certification_date": "2024-07-11",
        "status": "A",
        "authorized_official_last_name": "MYBECK",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "DIRECTOR OF MANAGED CARE",
        "authorized_official_telephone_number": "219-392-7064",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Chicago, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.