NPIMap

Organization Active NPI

Indiana Unversity Health la Porte Hospital Inc

  • Psychiatric Hospital Unit
  • La Porte, IN
National Provider Identifier
1659456580
Registry record updated Sep 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Hospital UnitTaxonomy code 273R00000X
License
11-005006-1 Issued in IN
Legal business name
INDIANA UNVERSITY HEALTH LA PORTE HOSPITAL INC
Practice address
1007 Lincolnway
La Porte, IN 46350-3290
Phone
(219) 326-1234
Fax
(219) 326-2387
NPI assigned
Oct 26, 2006
Organization subpart
Yes
Parent organization
INDIANA UNIVERSITY HEALTH LA PORTE HOSPITAL INCAs reported in NPPES

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital Unit 273R00000X 09-005006-1 IN
Psychiatric Hospital Unit 273R00000X 11-005006-1 IN Primary

Addresses

Primary practice location

1007 Lincolnway
La Porte, IN 46350-3290

Mailing address

PO Box 250
La Porte, IN 46352-0250
Phone (219) 326-1234

Other identifiers 4

IdentifierTypeStateIssuer
700339MedicaidIN
100269120MedicaidIN
100269110MedicaidIN
000000097783OtherINANTHEM

Other names 1

  • La Porte Regional Health System Inc Former legal business name

National Provider Directory

National Provider Directory
Part of
Laporte Regional Health System Inc

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": "1161820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379289600000",
    "number": "1659456580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 250",
            "city": "LA PORTE",
            "state": "IN",
            "postal_code": "463520250",
            "telephone_number": "219-326-1234",
            "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": "463503290",
            "telephone_number": "219-326-1234",
            "fax_number": "219-326-2387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIANA UNVERSITY HEALTH LA PORTE HOSPITAL INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "INDIANA UNIVERSITY HEALTH LA PORTE HOSPITAL INC",
        "enumeration_date": "2006-10-26",
        "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": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": "IN",
            "license": "09-005006-1",
            "primary": false
        },
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": "IN",
            "license": "11-005006-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "700339",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100269120",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100269110",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000097783",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "La Porte Regional Health System Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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.