Organization
LAPORTE REGIONAL HEALTH SYSTEM, INC.
Active
Other names
LaPorte Hospital Home Medical Equipment
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK A RAFALSKI (COO)
(219) 326-2347
Entity
Organization
Contact information
Practice address
220 DUNES PLAZA, HWY 421 & 20, MICHIGAN CITY, IN 46360
(219) 878-8047
Mailing address
220 DUNES PLAZA, HWY 421 & 20, MICHIGAN CITY, IN 46360
(219) 878-8047
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
69000198A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000097786
ANTHEM
IN
05
—
200078830
—
IN
Enumeration date
11/03/2006
Last updated
05/03/2010
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