INDIANA UNIVERSITY HEALTH LA PORTE HOSPITAL INC (NPI# 1386880060) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386880060 |
| Entity Type | Organization |
| Organization Name | INDIANA UNIVERSITY HEALTH LA PORTE HOSPITAL INC |
| Other Organization Name | COMMUNITY HEALTH CENTER |
| Practice Address |
400 Teegarden St La Porte IN 46350-3175 |
| Mailing Address |
1007 Lincolnway Po Box 250 La Porte IN 46350-3201 |
| Practice Telephone | 2193260043 |
| Mailing Telephone | 2193262403 |
| Mailing Fax Number | 2193262385 |
| Enumeration Date | 2008-12-30 |
| Last Update Date | 2013-09-16 |
| Authorized Official Name | MR. G THOR THORDARSON (PRESIDENT/CEO) |
| Authorized Official Telephone | 2193262555 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QC1500X |
Clinic/Center Specialization: Community Health |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 100269120B | 05 |
| Other Name | Type Code |
|---|---|
| Community Health Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952480154 | Indiana University Health La Porte Hospital Inc | Home Health | 901 South Woodland Avenue, Michigan City, IN 46360-5672 | 2006-11-06 |
| 1992884878 | Indiana University Health La Porte Hospital Inc | Clinic/Center | 400 Teegarden, La Porte, IN 46350-3175 | 2006-11-03 |
| 1447336938 | Indiana University Health La Porte Hospital Inc | Hospice Care, Community Based | 901 South Woodland Ave, Michigan City, IN 46360-5672 | 2006-10-27 |
| 1386822989 | Indiana University Health La Porte Hospital Inc | General Acute Care Hospital | 1007 Lincolnway, La Porte, IN 46350-3201 | 2008-02-06 |
| 1467531335 | Indiana University Health La Porte Hospital Inc | Clinic/Center | 311 Boyd Blvd, La Porte, IN 46350-3965 | 2006-11-03 |
| 1184703704 | Indiana University Health La Porte Hospital Inc | Rehabilitation Unit | 1007 Lincolnway, La Porte, IN 46352-0250 | 2006-11-03 |
| 1558446393 | Indiana University Health La Porte Hospital Inc | Skilled Nursing Facility | 1007 Lincolnway, La Porte, IN 46350-3201 | 2006-10-26 |
| 1144277971 | Indiana University Health La Porte Hospital Inc | General Acute Care Hospital | 1007 Lincolnway, La Porte, IN 46350-3201 | 2006-05-27 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Indiana Business Entities | INDIANA UNIVERSITY HEALTH LA PORTE HOSPITAL INC. | Po Box 250, Laporte, IN 46352 |
| Street Address |
400 TEEGARDEN ST |
| City | LA PORTE |
| State | IN |
| Zip Code | 46350-3175 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891838629 | Susan K Grace | Nurse Practitioner | 400 Teegarden St, Suite B, La Porte, IN 46350-3175 | 2007-02-14 |
| 1447808076 | Denise Doris Grasser | Social Worker | 400 Teegarden St, La Porte, IN 46350-3175 | 2019-08-27 |
| 1538728399 | Healthlinc, Inc | Clinic/Center | 400 Teegarden St, La Porte, IN 46350-3175 | 2019-06-06 |
| 1588051726 | Alexis Dunlap | Nurse Practitioner | 400 Teegarden St, La Porte, IN 46350-3175 | 2015-04-24 |
| 1124456926 | Manogna Katakam | Dentist | 400 Teegarden St, La Porte, IN 46350-3175 | 2013-10-15 |
| 1194077644 | Wendy Renee Dutcher | Registered Nurse | 400 Teegarden St, La Porte, IN 46350-3175 | 2012-10-09 |
| 1508139023 | Iryna Cribley | Nurse Practitioner | 400 Teegarden St, La Porte, IN 46350-3175 | 2012-02-14 |
| 1003122474 | Benjamin Lloyd Porter | Dentist | 400 Teegarden St, La Porte, IN 46350-3175 | 2010-08-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871139246 | Carolyn Ann Perra | Pharmacist | 55 Pine Lake S.c., Laporte, IN 46350 | 2019-11-20 |
| 1306496492 | Trinity Healthcare Inc. | Occupational Therapist | 2002 Andrew Avenue, Laporte, IN 46350 | 2019-09-19 |
| 1184136665 | Diane Margaret Rich | Physical Therapist | 1643 S Willow Bend Dr, La Porte, IN 46350 | 2017-10-24 |
| 1114460102 | Judith Marie Fitzhugh | Dietitian, Registered | 1775 S. Basswood Trail, Laporte, IN 46350 | 2016-11-23 |
| 1568916971 | Total Renal Care, Inc. | Clinic/Center | 1406 E Lincolnway, Ste A, La Porte, IN 46350 | 2016-08-15 |
| 1083079008 | Irene Torres | Nurse Practitioner | 1407 Lincolnway, La Porte, IN 46350 | 2015-12-17 |
| 1124422910 | Becky Alwood-wallace | Occupational Therapist | 1203 Washington Street, Iu Health La Porte Hospital Wellness & Rehabilitation, La Porte, IN 46350 | 2014-10-22 |
| 1881001527 | Johnson Memorial Hospital | Skilled Nursing Facility | 3530 Monroe Street, La Porte, IN 46350 | 2014-07-15 |
| 1306268941 | Tiffany Anne Satterfield | Physical Therapy Assistant | 194 S 400 E, Laporte, IN 46350 | 2014-01-16 |
| 1801122239 | Mary Barbara Backer | Internal Medicine | 301 Willow Bend Dr, La Porte, IN 46350 | 2009-10-20 |
| Find all providers in zip 46350 | ||||
| Taxonomy Code | 261QC1500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Community Health |
| Definition to come... |
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| 1679891360 | Primary Care Medical Home | Clinic/Center | 1089 3rd Ave Sw, Carmel, IN 46032-7584 | 2010-05-05 |
| 1275660888 | Gregory Neil Larkin | Clinic/Center | 704 N Park Ave, Indianapolis, IN 46202-3431 | 2007-02-28 |
| 1831274737 | Wishard Health Services | Clinic/Center | 1002 W. 10th Street, Indianapolis, IN 46202 | 2006-10-26 |
| 1952332298 | Community Healthnet Inc | Clinic/Center | 1021 West 5th Avenue, Gary, IN 46402-1703 | 2006-07-05 |
| 1316561475 | Center for Healing and Hope | Clinic/Center | 902 S Main St, Goshen, IN 46526-4339 | 2020-06-04 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.