Organization
INDIANA UNIVERSITY HEALTH LA PORTE HOSPITAL INC
Active
Organization
INDIANA UNIVERSITY HEALTH LA PORTE HOSPITAL INC
Active
Other names
Community Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. G THOR THORDARSON (PRESIDENT/CEO)
(219) 326-2555
Entity
Organization
Contact information
Practice address
400 TEEGARDEN ST, LA PORTE, IN 46350-3175
(219) 326-0043
Mailing address
1007 LINCOLNWAY, PO BOX 250, LA PORTE, IN 46350-3201
(219) 326-2403
(219) 326-2385
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100269120B
—
IN
Enumeration date
12/30/2008
Last updated
09/16/2013
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