# INDIANA UNIVERSITY HEALTH LA PORTE HOSPITAL INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1992884878
- **Authorized official:** G THOR THORDARSON (PRESIDENT/CEO)
- **Authorized official phone:** (219) 326-2555

## Contact information

- **Practice address:** 400 TEEGARDEN, LA PORTE, IN 46350-3175
- **Practice address phone:** (219) 326-2403
- **Practice address fax:** (219) 326-2385
- **Mailing address:** 400 TEEGARDEN, LA PORTE, IN 46350-3175
- **Mailing address phone:** (219) 326-2403
- **Mailing address fax:** (219) 326-2385

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 06-005006-1 | IN | — |
| 261QD0000X | Dental Clinic/Center | 11-005006-1 | IN | Yes |

## Other

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

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 200237780A | — | IN |