# INDIANA UNIVERSITY HEALTH LA PORTE HOSPITAL INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Community Health Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1386880060
- **Authorized official:** MR. G THOR THORDARSON (PRESIDENT/CEO)
- **Authorized official phone:** (219) 326-2555

## Contact information

- **Practice address:** 400 TEEGARDEN ST, LA PORTE, IN 46350-3175
- **Practice address phone:** (219) 326-0043
- **Mailing address:** 1007 LINCOLNWAY, PO BOX 250, LA PORTE, IN 46350-3201
- **Mailing address phone:** (219) 326-2403
- **Mailing address fax:** (219) 326-2385

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QC1500X | Community Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 12/30/2008
- **Last updated:** 09/16/2013