Organization
INDIANA UNIVERSITY HEALTH LA PORTE HOSPITAL INC
Active
Other names
LaPorte Occupational Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
G THOR THORDARSON (PRESIDENT/CEO)
(219) 326-2555
Entity
Organization
Contact information
Practice address
311 BOYD BLVD, LA PORTE, IN 46350-3965
(219) 326-2664
(219) 325-5435
Mailing address
311 BOYD BLVD, LA PORTE, IN 46350-3965
(219) 326-2664
(219) 325-5435
Taxonomy
Speciality
Code
Description
License number
State
261QX0100X
Occupational Medicine Clinic/Center
Primary
09-005006-1
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000097783
ANTHEM
IN
05
—
100269110
—
IN
05
—
110269120
—
IN
05
—
700339
—
IN
Enumeration date
11/03/2006
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