# LAPORTE REGIONAL PHYSICIAN NETWORK

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- **Entity:** Organization
- **Status:** Active
- **Other names:** New Carlisle Family Medicine
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336250737
- **Authorized official:** RHONDA VOLK (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (219) 326-2485

## Contact information

- **Practice address:** 8988 E US HIGHWAY 20, NEW CARLISLE, IN 46552-9038
- **Practice address phone:** (574) 654-7779
- **Practice address fax:** (574) 654-7780
- **Mailing address:** PO BOX 1690, LA PORTE, IN 46352-1690
- **Mailing address phone:** (219) 326-2312
- **Mailing address fax:** (219) 326-2584

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/31/2006
- **Last updated:** 06/06/2008