ST. CATHERINE HOSPITAL OCCUPATIONAL HEALTH @ST. MARY MEDICAL CENTER
NPI 1134450091
Clinic/Center - Occupational Medicine in Hobart, IN

NPI Status: Active since January 15, 2010

Contact Information

1354 S LAKE PARK AVE
HOBART, IN
ZIP 46342
Phone: (219) 947-6495
Fax: (219) 947-6408

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  • Organization
  • Clinic/Center
  • Occupational Medicine
  • CLIA Number: 15D2326947
  • CLIA Cert. Type: Community Clinic
  • CLIA Exp. Date: 07-13-2027

About ST. CATHERINE HOSPITAL OCCUPATIONAL HEALTH @ST. MARY MEDICAL CENTER

This page provides the complete NPI Profile along with additional information for St. Catherine Hospital Occupational Health @st. Mary Medical Center, a provider established in Hobart, Indiana operating as a Clinic/center, focusing in occupational medicine . The healthcare provider is registered in the NPI registry with number 1134450091 assigned on January 2010. The practitioner's primary taxonomy code is 261QX0100X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is Mr. Kevin Mybeck (Director Of Managed Care)

NPI
1134450091
Provider Name
ST. CATHERINE HOSPITAL OCCUPATIONAL HEALTH @ST. MARY MEDICAL CENTER
Entity Type
Organization
Location Address
1354 S LAKE PARK AVE HOBART, IN 46342
Location Phone
(219) 947-6495
Location Fax
(219) 947-6408
Mailing Address
1354 S LAKE PARK AVE HOBART, IN 46342
Mailing Phone
(219) 947-6495
Mailing Fax
(219) 947-6408
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
01-15-2010
Last Update Date
07-11-2024
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Occupational Medicine

Taxonomy Code
261QX0100X
Type
Ambulatory Health Care Facilities

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. KEVIN MYBECK

Authorized Official Title
DIRECTOR OF MANAGED CARE
Authorized Official Phone
(219) 392-7064

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
15D2326947
Facility Type
Community Clinic
Certificate Effective Date
July 14, 2025
Certificate Expiration Date
July 13, 2027
Laboratory Director
YIQING CHI
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to St. Catherine Hospital Occupational Health @st. Mary Medical Center to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1134450091, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 59. The final step is to find the difference between that total and the next multiple of ten (60 - 59 = 1).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
3
Doubled → 6
Pos 4
4
Unchanged
Pos 5
4
Doubled → 8
Pos 6
5
Unchanged
Pos 7
0
Doubled → 0
Pos 8
0
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
1
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 3 → 6 4 → 8 0 → 0 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 6 + 4 + 8 + 5 + 0 + 0 + 1 + 8 + 24 = 59

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 59 is 60. The difference is the calculated check digit.

60 - 59 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1134450091.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Physician Assistant
1354 S LAKE PARK AVE
HOBART, IN 46342

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1134450091, enumerated as an "organization" on January 15, 2010.

The provider is located at 1354 S LAKE PARK AVE HOBART, IN 46342 and the phone number is (219) 947-6495.

Clinic/Center with taxonomy code 261QX0100X and a focus in Occupational Medicine.