Organization
PORTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA A GIBSON (MANAGER, PFS)
(219) 263-4767
Entity
Organization
Contact information
Practice address
814 LAPORTE AVE, VALPARAISO, IN 46383-5860
(219) 263-4767
Mailing address
814 LAPORTE AVE, VALPARAISO, IN 46383-5860
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
IN
341600000X
Ambulance
—
IN
Other
Enumeration date
01/04/2007
Last updated
08/10/2007
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