Organization Active NPI

Laporte County Health Department

  • Public Health or Welfare Agency
  • La Porte, IN
National Provider Identifier
1093005126
Registry record updated Apr 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
License
251K00000X Issued in IN
Legal business name
LAPORTE COUNTY HEALTH DEPARTMENT
Practice address
809 State St
Suite 401a
La Porte, IN 46350-3385
Phone
(219) 326-6808
Fax
(219) 325-8628
NPI assigned
Apr 11, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Tony Mancuso
Title
Administrator
Phone
(219) 326-6808

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X 251K00000X IN Primary

Addresses

Primary practice location

809 State St
Suite 401a
La Porte, IN 46350-3385

Mailing address

809 State Street
Suite 401a
Laporte, IN 46350-3385
Phone (219) 326-6808

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
15D0666787Laporte County Health Department809 State St Ste 401a, La Porte, IN 46350Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory
Tax ID family
Laporte County Auditor2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

809 State St
Ste 401A
Laporte, IN 46350
Phone (219) 326-6808

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1302480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302480000000",
    "number": "1093005126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "809 STATE STREET",
            "address_2": "SUITE 401A",
            "city": "LAPORTE",
            "state": "IN",
            "postal_code": "463503385",
            "telephone_number": "219-326-6808",
            "fax_number": "219-325-8628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 STATE ST",
            "address_2": "SUITE 401A",
            "city": "LA PORTE",
            "state": "IN",
            "postal_code": "463503385",
            "telephone_number": "219-326-6808",
            "fax_number": "219-325-8628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAPORTE COUNTY HEALTH DEPARTMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-11",
        "last_updated": "2011-04-11",
        "status": "A",
        "authorized_official_last_name": "MANCUSO",
        "authorized_official_first_name": "TONY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "219-326-6808",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "IN",
            "license": "251K00000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Porte, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.