NPIMap

Organization Active NPI

Indiana University Health la Porte Hospital Inc

  • Community Health Clinic/Center
  • La Porte, IN
National Provider Identifier
1386880060
Registry record updated Sep 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Clinic/CenterTaxonomy code 261QC1500X
Legal business name
INDIANA UNIVERSITY HEALTH LA PORTE HOSPITAL INC
Practice address
400 Teegarden St
La Porte, IN 46350-3175
Phone
(219) 326-0043
NPI assigned
Dec 30, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2013

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Clinic/Center 261QC1500X Primary

Addresses

Primary practice location

400 Teegarden St
La Porte, IN 46350-3175

Mailing address

1007 Lincolnway
PO Box 250
La Porte, IN 46350-3201
Phone (219) 326-2403

Other identifiers 1

IdentifierTypeStateIssuer
100269120BMedicaidIN

Other names 1

  • Community Health Center Doing business as

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1230595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379289600000",
    "number": "1386880060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1007 LINCOLNWAY",
            "address_2": "PO BOX 250",
            "city": "LA PORTE",
            "state": "IN",
            "postal_code": "463503201",
            "telephone_number": "219-326-2403",
            "fax_number": "219-326-2385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 TEEGARDEN ST",
            "city": "LA PORTE",
            "state": "IN",
            "postal_code": "463503175",
            "telephone_number": "219-326-0043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIANA UNIVERSITY HEALTH LA PORTE HOSPITAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-30",
        "last_updated": "2013-09-16",
        "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": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100269120B",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Community Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Sep 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.