INDIANA UNIVERSITY HEALTH LA PORTE HOSPITAL INC (NPI# 1992884878) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992884878 |
| Entity Type | Organization |
| Organization Name | INDIANA UNIVERSITY HEALTH LA PORTE HOSPITAL INC |
| Other Organization Name | COMMUNITY HEALTH CENTER OF LAPORTE |
| Practice Address |
400 Teegarden La Porte IN 46350-3175 |
| Practice Telephone | 2193262403 |
| Practice Fax Number | 2193262385 |
| Mailing Telephone | 2193262403 |
| Mailing Fax Number | 2193262385 |
| 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 |
|---|---|---|---|---|---|
| N | 261QD0000X |
Clinic/Center Specialization: Dental |
06-005006-1 | IN | Ambulatory Health Care Facilities |
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
11-005006-1 | IN | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200237780A | 05 |
| Other Name | Type Code |
|---|---|
| Community Health Center of LaPorte | 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 |
| 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 |
| 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 |
| City | LA PORTE |
| State | IN |
| Zip Code | 46350-3175 |
| 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 | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730593955 | Burchwood | Clinic/Center | 8920 Spencer Hwy Ste D, La Porte, TX 77571-4195 | 2014-06-16 |
| 1457313694 | Lawrence Maher, IIi, D.d.s and Gayla M Maher, D.d.s., Inc. | Clinic/Center | 505 W Fairmont Pkwy, Suite A, La Porte, TX 77571-6312 | 2006-04-04 |
| 1861803454 | Bunmi Adekugbe Dmd Inc | Clinic/Center | 1011 Michigan Ave, La Porte, IN 46350-3584 | 2014-05-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134720147 | Ms Vibbert Dds PC | Clinic/Center | 7301 Georgetown Rd Ste 113, Indianapolis, IN 46268-4157 | 2020-11-05 |
| 1508471814 | White River Family Dental and Implant Center | Clinic/Center | 1638 W Smith Valley Rd Ste B, Greenwood, IN 46142-1550 | 2020-09-14 |
| 1669087144 | Babb Dentistry LLC | Clinic/Center | 2229 W Virginia St, Evansville, IN 47712-5214 | 2020-09-11 |
| 1790398451 | Bryant P. Burkett Dds, LLC | Clinic/Center | 5310 Pearl Dr Ste C, Evansville, IN 47712-8105 | 2020-08-24 |
| 1508478298 | Verity Smile Studio, LLC | Clinic/Center | 1619 W. 86th St Suite B, Indianapolis, IN 46260 | 2020-08-23 |
| 1831701044 | Tree of Life LLC | Clinic/Center | 311 Florence Ave, Granger, IN 46530-8049 | 2020-08-19 |
| 1568073096 | Fdg Mobile | Clinic/Center | 438 S Emerson Ave Ste 231, Greenwood, IN 46143-1948 | 2020-08-10 |
| 1992315980 | Kaszuba Dental, LLC | Clinic/Center | 1934 45th St, Munster, IN 46321-3917 | 2020-08-04 |
| 1205454014 | Advanced Dental Care of Fortville, LLC | Clinic/Center | 545 Vitality Dr Ste F, Fortville, IN 46040-1373 | 2020-07-08 |
| 1366066375 | Jindal Management LLC | Clinic/Center | 701 N Weinbach Ave Ste 910, Evansville, IN 47711-6607 | 2020-06-05 |
| 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.