Organization
COMMUNITY HOSPITAL OF LAGRANGE COUNTY, INC.
Active
Parent organization
COMMUNITY HOSPITAL OF LAGRANGE COUNTY, INC.
Other names
Parkview LaGrange Hospital
Organization subpart
Yes
Provider details
NPI number
Legal business name
COMMUNITY HOSPITAL OF LAGRANGE COUNTY, INC.
Authorized official
MR. STAN RISSER (ACFO)
(260) 266-9380
Entity
Organization
Contact information
Practice address
207 N TOWNLINE RD, LAGRANGE, IN 46761-1325
(260) 463-2143
(260) 463-3190
Mailing address
PO BOX 5600, FORT WAYNE, IN 46895-5600
(260) 373-7008
(260) 373-7059
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
0186
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200523840A
—
IN
01
—
611159100
BLACK LUNG ID#
IN
Enumeration date
09/26/2006
Last updated
10/31/2024
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