INDIANA UNIVERSITY HEALTH LA PORTE HOSPITAL INC (NPI# 1467531335) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1467531335 |
Entity Type | Organization |
Organization Name | INDIANA UNIVERSITY HEALTH LA PORTE HOSPITAL INC |
Other Organization Name | LAPORTE OCCUPATIONAL HEALTH CENTER |
Practice Address |
311 Boyd Blvd La Porte IN 46350-3965 |
Practice Telephone | 2193262664 |
Practice Fax Number | 2193255435 |
Mailing Telephone | 2193262664 |
Mailing Fax Number | 2193255435 |
Enumeration Date | 2006-11-03 |
Last Update Date | 2013-09-16 |
NPI Deactivation Date | 07/17/2007 |
NPI Reactivation Date | 2007-08-07 |
Authorized Official Name | G THOR THORDARSON (PRESIDENT/CEO) |
Authorized Official Telephone | 2193262555 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QX0100X |
Clinic/Center Specialization: Occupational Medicine |
09-005006-1 | IN | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IN | 110269120 | 05 | |
IN | 700339 | 05 | |
IN | 100269110 | 05 | |
IN | ANTHEM | 000000097783 | 01 |
Other Name | Type Code |
---|---|
LaPorte Occupational Health Center | Other Name - Individual/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 |
1386880060 | Indiana University Health La Porte Hospital Inc | Clinic/Center | 400 Teegarden St, La Porte, IN 46350-3175 | 2008-12-30 |
1386822989 | Indiana University Health La Porte Hospital Inc | General Acute Care Hospital | 1007 Lincolnway, La Porte, IN 46350-3201 | 2008-02-06 |
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 |
311 BOYD BLVD |
City | LA PORTE |
State | IN |
Zip Code | 46350-3965 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871598243 | Elizabeth L. Hale | Registered Nurse | 311 Boyd Blvd, La Porte, IN 46350-3965 | 2005-06-14 |
1538704101 | Heidi Marie Bickel | Nurse Practitioner | 311 Boyd Blvd, La Porte, IN 46350-3965 | 2019-11-07 |
1316599954 | Jessica Hagler | Nurse Practitioner | 311 Boyd Blvd, La Porte, IN 46350-3965 | 2019-07-14 |
1689109084 | Diane Trkulja-castro | Registered Nurse | 311 Boyd Blvd, La Porte, IN 46350-3965 | 2017-04-24 |
1922467562 | Laporte Occupational Health Services LLC | Preventive Medicine | 311 Boyd Blvd, La Porte, IN 46350-3965 | 2016-02-10 |
1942305305 | Laporte Regional Physician Network | Orthopaedic Surgery | 311 Boyd Blvd, La Porte, IN 46350-3965 | 2006-09-13 |
1750485785 | Laporte Regional Physician Network | Family Medicine | 311 Boyd Blvd, La Porte, IN 46350-3965 | 2006-09-11 |
1578677191 | Christopher D Sayers | Internal Medicine | 311 Boyd Blvd, La Porte, IN 46350-3965 | 2006-08-19 |
1396730008 | John W Luce | Family Medicine | 311 Boyd Blvd, La Porte, IN 46350-3965 | 2005-09-19 |
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 | 261QX0100X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Occupational Medicine |
Definition to come... |
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1346572823 | Community Rehab Services South Park | Clinic/Center | 98 S Park Blvd, Greenwood, IN 46143-8836 | 2010-02-08 |
1407188980 | Community Rehab Services County Line Road | Clinic/Center | 1340 E County Line Rd, Suite U, Indianapolis, IN 46227-0874 | 2010-02-08 |
1972834067 | Workplace Health Services | Clinic/Center | 4850 Century Plaza Rd Ste 140, Indianapolis, IN 46254-5478 | 2010-01-29 |
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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.