Active NPI
Indiana University Health la Porte Hospital Inc
- General Acute Care Hospital
- La Porte, IN
National Provider Identifier
1144277971
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Acute Care Hospital
- License
- 11-005006-1
- Legal business name
- INDIANA UNIVERSITY HEALTH LA PORTE HOSPITAL INC
- Doing business as
- Indiana University Health La Porte Hospital Inc
- Practice address
- 1007 Lincolnway
La Porte, IN 46350-3201 - Phone
- (219) 326-2494
- Fax
- (219) 326-2387
- NPI assigned
- May 27, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. G Thor Thordarson
- Title
- President/Ceo
- Phone
- (219) 326-2555
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | 09-005006-1 | IN | |
| General Acute Care Hospital | 282N00000X | 11-005006-1 | IN | Primary |
Addresses
Primary practice location
1007 Lincolnway
La Porte, IN 46350-3201
Mailing address
1007 Lincolnway
La Porte, IN 46350-3201
Phone (219) 326-2494
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100269110 | Medicaid | IN | |
| 700339 | Medicaid | IN | |
| 200714310 | Medicaid | IN | |
| 000000097783 | Other | IN | ANTHEM |
| 100269120 | Medicaid | IN |
Other names 1
- Indiana University Health La Porte Hospital Inc
National Provider Directory
National Provider Directory- Tax ID family
- La Porte Hospital Co LLC
Other organizations with this tax ID 4
Organizations that report the same tax identification number in the National Provider Directory.
-
dba La Porte Hospital
- Skilled Nursing Facility
- La Porte, IN
- NPI 1366807802
-
dba Northwest Health-La Porte
- General Acute Care Hospital
- La Porte, IN
- NPI 1750746285
-
dba La Porte Hospital
- Rehabilitation Hospital Unit
- La Porte, IN
- NPI 1831554369
-
dba La Porte Hospital
- Psychiatric Hospital Unit
- La Porte, IN
- NPI 1922463454
Member of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
dba Indiana University Health Arnett Sleep Apnea Education Center
- Durable Medical Equipment & Medical Supplies
- Lafayette, IN
- NPI 1902061583
Member Of
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148688000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1392249600000",
"number": "1144277971",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1007 LINCOLNWAY",
"city": "LA PORTE",
"state": "IN",
"postal_code": "463503201",
"telephone_number": "219-326-2494",
"fax_number": "219-326-2387"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1007 LINCOLNWAY",
"city": "LA PORTE",
"state": "IN",
"postal_code": "463503201",
"telephone_number": "219-326-2494",
"fax_number": "219-326-2387"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INDIANA UNIVERSITY HEALTH LA PORTE HOSPITAL INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-27",
"last_updated": "2014-02-13",
"status": "A",
"authorized_official_last_name": "THORDARSON",
"authorized_official_first_name": "G",
"authorized_official_middle_name": "THOR",
"authorized_official_title_or_position": "PRESIDENT/CEO",
"authorized_official_telephone_number": "219-326-2555",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "282N00000X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital",
"state": "IN",
"license": "09-005006-1",
"primary": false
},
{
"code": "282N00000X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital",
"state": "IN",
"license": "11-005006-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100269110",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "700339",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200714310",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000097783",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100269120",
"state": "IN"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Indiana University Health La Porte Hospital Inc",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in La Porte, IN
- Carl Hufford, LCSW
- Misty Humes, RBT
- Margret Harpa Huntress, MA, LMHC
- Dina Mamdouh Hussein, DMD
- Alexander Igolnikov, MD
- Indiana University Health la Porte Hospital Inc
- Indiana University Health la Porte Hospital Inc
- Indiana University Health la Porte Hospital Inc (Community Health Center)
- Indiana University Health la Porte Hospital Inc
- Indiana University Health la Porte Hospital Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.