Organization
INDIANA UNVERSITY HEALTH LA PORTE HOSPITAL INC
Active
Parent organization
INDIANA UNIVERSITY HEALTH LA PORTE HOSPITAL INC
Other names
La Porte Regional Health System Inc
Organization subpart
Yes
Provider details
NPI number
Legal business name
INDIANA UNIVERSITY HEALTH LA PORTE HOSPITAL INC
Authorized official
MR. G THOR THORDARSON (PRESIDENT/CEO)
(219) 326-2555
Entity
Organization
Contact information
Practice address
1007 LINCOLNWAY, LA PORTE, IN 46350-3290
(219) 326-1234
(219) 326-2387
Mailing address
PO BOX 250, LA PORTE, IN 46352-0250
(219) 326-1234
(219) 326-2387
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
09-005006-1
IN
273R00000X
Psychiatric Hospital Unit
Primary
11-005006-1
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000097783
ANTHEM
IN
05
—
100269110
—
IN
05
—
100269120
—
IN
05
—
700339
—
IN
Enumeration date
10/26/2006
Last updated
09/16/2013
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