# INDIANA UNIVERSITY HEALTH LA PORTE HOSPITAL INC

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

## Provider details

- **NPI number:** 1467531335
- **Authorized official:** G THOR THORDARSON (PRESIDENT/CEO)
- **Authorized official phone:** (219) 326-2555

## Contact information

- **Practice address:** 311 BOYD BLVD, LA PORTE, IN 46350-3965
- **Practice address phone:** (219) 326-2664
- **Practice address fax:** (219) 325-5435
- **Mailing address:** 311 BOYD BLVD, LA PORTE, IN 46350-3965
- **Mailing address phone:** (219) 326-2664
- **Mailing address fax:** (219) 325-5435

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QX0100X | Occupational Medicine Clinic/Center | 09-005006-1 | IN | Yes |

## Other

- **Enumeration date:** 11/03/2006
- **Last updated:** 09/16/2013
