# INDIANA UNIVERSITY HEALTH LA PORTE HOSPITAL INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Indiana University Health La Porte Hospital Inc
- **Organization subpart:** No

## Provider details

- **NPI number:** 1558446393
- **Authorized official:** MR. G THOR THORDARSON (CFO)
- **Authorized official phone:** (219) 326-2555

## Contact information

- **Practice address:** 1007 LINCOLNWAY, LA PORTE, IN 46350-3201
- **Practice address phone:** (219) 326-2494
- **Practice address fax:** (219) 326-2387
- **Mailing address:** 1007 LINCOLNWAY, LA PORTE, IN 46350-3201
- **Mailing address phone:** (219) 326-2494
- **Mailing address fax:** (219) 326-2387

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 06-005006-1 | IN | — |
| 314000000X | Skilled Nursing Facility | 11-005006-1 | IN | Yes |

## Other

- **Enumeration date:** 10/26/2006
- **Last updated:** 02/12/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000097784 | ANTHEM | IN |
| 05 | — | 100267790 | — | IN |
| 05 | — | 100269120 | — | IN |