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Organization
INDIANA UNIVERSITY HEALTH LA PORTE HOSPITAL INC
Active
Organization
INDIANA UNIVERSITY HEALTH LA PORTE HOSPITAL INC
Active
Other names
Indiana University Health La Porte Hospital Inc
Organization subpart
No
Provider details
NPI number
Authorized official
MR. G THOR THORDARSON (CFO)
(219) 326-2555
Entity
Organization
Contact information
Practice address
1007 LINCOLNWAY, LA PORTE, IN 46350-3201
(219) 326-2494
(219) 326-2387
Mailing address
1007 LINCOLNWAY, LA PORTE, IN 46350-3201
(219) 326-2494
(219) 326-2387
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
06-005006-1
IN
314000000X
Skilled Nursing Facility
Primary
11-005006-1
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000097784
ANTHEM
IN
05
—
100267790
—
IN
05
—
100269120
—
IN
Enumeration date
10/26/2006
Last updated
02/12/2014
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