Organization
INDIANA UNIVERSITY HEALTH LA PORTE HOSPITAL INC
Active
Other names
La Porte Regional Health System Inc
Organization subpart
No
Provider details
NPI number
Authorized official
MR. G THOR THORDARSON (PRESIDENT/CEO)
(219) 326-2555
Entity
Organization
Contact information
Practice address
1007 LINCOLNWAY, LA PORTE, IN 46352-0250
(219) 326-1234
(219) 325-5403
Mailing address
1007 LINCOLNWAY, LA PORTE, IN 46352-0250
(219) 326-1234
(219) 325-5403
Taxonomy
Speciality
Code
Description
License number
State
273Y00000X
Rehabilitation Hospital Unit
09-005006-1
IN
273Y00000X
Rehabilitation Hospital Unit
Primary
11-005006-1
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000097783
ANTHEM
IN
05
—
100269110
—
IN
05
—
100269120
—
IN
05
—
200714310
—
IN
05
—
700339
—
IN
Enumeration date
11/03/2006
Last updated
09/16/2013
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