Organization
PORTER HOSPITAL LLC
Active
Other names
Northwest Health-Porter
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PAULA M LALOR (DIRECTOR/DELEGATED OFFICIAL)
(629) 215-3953
Entity
Organization
Contact information
Practice address
85 E US HIGHWAY 6, VALPARAISO, IN 46383-8917
(219) 263-4600
(219) 263-4882
Mailing address
15708 COLLECTION CENTER DR, CHICAGO, IL 60693-0157
(219) 263-4600
(219) 263-4882
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
070050331
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100270110A
—
IN
Enumeration date
04/12/2007
Last updated
04/20/2021
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