Organization
INDIANA UNIVERSITY HEALTH LA PORTE HOSPITAL INC
Active
Organization
INDIANA UNIVERSITY HEALTH LA PORTE HOSPITAL INC
Active
Other names
Indiana University Health La Porte VNA Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. G THOR THORDARSON (PRESIDENT/CEO)
(219) 326-2555
Entity
Organization
Contact information
Practice address
901 SOUTH WOODLAND AVE, MICHIGAN CITY, IN 46360-5672
(219) 871-8100
(219) 871-8113
Mailing address
901 SOUTH WOODLAND AVE, MICHIGAN CITY, IN 46360-5672
(219) 871-8100
(219) 871-8113
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
06-006017-1
IN
251G00000X
Community Based Hospice Care Agency
Primary
11-006017-1
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000097786
ANTHEM
IN
05
—
200318310
—
IN
Enumeration date
10/27/2006
Last updated
09/16/2013
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up