Organization
INDIANA UNIVERSITY HEALTH LA PORTE HOSPITAL INC
Active
Other names
Indiana University Health La Porte Hospital Inc
Organization subpart
No
Provider details
NPI number
Authorized official
MR. G THOR THORDARSON (CFO)
(219) 326-2555
Entity
Organization
Contact information
Practice address
1007 LINCOLNWAY, LA PORTE, IN 46350-3201
(219) 326-2494
(219) 326-2387
Mailing address
1007 LINCOLNWAY, LA PORTE, IN 46350-3201
(219) 326-2494
(219) 326-2387
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
06-005006-1
IN
314000000X
Skilled Nursing Facility
Primary
11-005006-1
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000097784
ANTHEM
IN
05
—
100267790
—
IN
05
—
100269120
—
IN
Enumeration date
10/26/2006
Last updated
02/12/2014
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