La Porte Clinic Company LLC

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

LA PORTE CLINIC COMPANY LLC

Doing business as

Knox Family Medical Center

Practice address

104 E Culver Rd
Suite 102
Knox, IN 46534-2241

Phone

(219) 326-2461

NPI assigned

Jul 22, 2016

Last updated

May 7, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jennifer L Jackson

Title

Sr Director Provider Enrollment

Phone

(615) 465-3334

Specialties & licenses 1

Addresses

Other names 1

• Knox Family Medical Center Doing business as

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1770936965. Details of each certification follow.

• CCN 153857 Rural health clinic · Active · Details

Rural health clinic certification: CCN 153857

Legal name

LA PORTE CLINIC COMPANY LLC

Doing business as

KNOX FAMILY MEDICAL CENTER

Certification status

Active

Provider type (POS)

Rural health clinic

Participating since

Nov 24, 1999

Last certification

Aug 29, 2023

Ownership / control type

1B

Most recent change of ownership

Mar 1, 2016 (1 total)

Organization structure

LLCProprietary

Incorporated

Mar 1, 2016 in IN

Enrollment address

104 E Culver Rd
Knox, IN 46534-2241

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• La Porte Clinic Company LLC

  • Internal Medicine Physician
  • Valparaiso, IN
  • NPI 1568829224

  0446558357

  Same PAC ID

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

CLIA laboratory certificates

All disclosed owners & managing parties 16

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Facilities with the same owner 120

Facilities that share an organizational owner with 5% or greater ownership or operational control.

• Bluffton Health System LLC

  dba Bluffton Regional Medical Center

  • Medicare Defined Swing Bed Hospital Unit
  • Bluffton, IN
  • NPI 1356839591

  CHS Community Health Systems Inc, Community Health Systems Inc, Hma-Tri Holdings LLC, Tennyson Holdings LLC, Triad Healthcare LLC

  CMS ownership
• Bluffton Health System LLC

  dba Bluffton Regional Medical Center

  • General Acute Care Hospital
  • Bluffton, IN
  • NPI 1376594366

  CHS Community Health Systems Inc, Community Health Systems Inc, Hma-Tri Holdings LLC, Tennyson Holdings LLC, Triad Healthcare LLC

  CMS ownership
• Dukes Health System LLC

  dba Dukes Memorial Hospital

  • Critical Access Hospital
  • Peru, IN
  • NPI 1619920949

  CHS Community Health Systems Inc, Community Health Systems Inc, Hma-Tri Holdings LLC, Tennyson Holdings LLC, Triad Healthcare LLC

  CMS ownership
• Dukes Health System LLC

  dba Dukes Memorial Hospital

  • Medicare Defined Swing Bed Hospital Unit
  • Peru, IN
  • NPI 1992749691

  CHS Community Health Systems Inc, Community Health Systems Inc, Hma-Tri Holdings LLC, Tennyson Holdings LLC, Triad Healthcare LLC

  CMS ownership
• Dupont Hospital LLC

  dba Dupont Hospital

  • General Acute Care Hospital
  • Fort Wayne, IN
  • NPI 1538110556

  CHS Community Health Systems Inc, Community Health Systems Inc, Hma-Tri Holdings LLC, Tennyson Holdings LLC, Triad Healthcare LLC

  CMS ownership
• Iom Health System LP

  dba Lutheran Hospital of Indiana

  • General Acute Care Hospital
  • Fort Wayne, IN
  • NPI 1306897335

  CHS Community Health Systems Inc, Community Health Systems Inc, Hma-Tri Holdings LLC, Tennyson Holdings LLC, Triad Healthcare LLC

  CMS ownership
• Knox Hospital Company LLC

  dba Northwest Health- Starke

  • Rural Acute Care Hospital
  • Knox, IN
  • NPI 1679948319

  CHS Community Health Systems Inc, Community Health Systems Inc, Frankfort Health Partner, Inc, Hma-Tri Holdings LLC, La Porte Health System LLC, Tennyson Holdings LLC, Triad Healthcare LLC

  CMS ownership
• La Porte Hospital Company LLC

  dba Northwest Health-La Porte

  • General Acute Care Hospital
  • La Porte, IN
  • NPI 1750746285

  CHS Community Health Systems Inc, Community Health Systems Inc, Frankfort Health Partner, Inc, Hma-Tri Holdings LLC, La Porte Health System LLC, Tennyson Holdings LLC, Triad Healthcare LLC

  CMS ownership
• Lutheran Musculoskeletal Center LLC

  dba The Orthopaedic Hospital of Lutheran Health Network

  • General Acute Care Hospital
  • Fort Wayne, IN
  • NPI 1174706576

  CHS Community Health Systems Inc, Community Health Systems Inc, Hma-Tri Holdings LLC, Tennyson Holdings LLC, Triad Healthcare LLC

  CMS ownership
• Porter Hospital LLC

  dba Northwest Health-Porter

  • Rehabilitation Hospital Unit
  • Portage, IN
  • NPI 1154571180

  CHS Community Health Systems Inc, Community Health Systems Inc, Frankfort Health Partner, Inc, Hma-Tri Holdings LLC, Tennyson Holdings LLC, Triad Healthcare LLC

  CMS ownership
• Porter Hospital LLC

  dba Northwest Health-Porter

  • General Acute Care Hospital
  • Valparaiso, IN
  • NPI 1215151154

  CHS Community Health Systems Inc, Community Health Systems Inc, Frankfort Health Partner, Inc, Hma-Tri Holdings LLC, Tennyson Holdings LLC, Triad Healthcare LLC

  CMS ownership
• St. Joseph Health System, LLC

  dba Lutheran Downtown Hospital

  • General Acute Care Hospital
  • Fort Wayne, IN
  • NPI 1023060472

  CHS Community Health Systems Inc, Community Health Systems Inc, Hma-Tri Holdings LLC, Tennyson Holdings LLC, Triad Healthcare LLC

  CMS ownership

Change-of-ownership history 1

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

• Indiana University Health la Porte Physicians Inc

  • Multi-Specialty Clinic/Center
  • La Porte, IN
  • NPI 1760593776

  Acquired from, 2016-03-01

  CMS change of ownership

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

{
    "created_epoch": "1469145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715040000000",
    "number": "1770936965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 689022",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370689022",
            "telephone_number": "615-778-8071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 E CULVER RD",
            "address_2": "SUITE 102",
            "city": "KNOX",
            "state": "IN",
            "postal_code": "465342241",
            "telephone_number": "219-326-2461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA PORTE CLINIC COMPANY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-22",
        "last_updated": "2024-05-07",
        "certification_date": "2024-05-07",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "SR DIRECTOR PROVIDER ENROLLMENT",
        "authorized_official_telephone_number": "615-465-3334"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Knox Family Medical Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Knox Family Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Knox Indiana Hospital Company LLC (Starke Memorial Hospital)
• Knox Winamac Community Health Centers Inc
• Knox Winamac Community Health Centers, Inc
• Knox Winamac Community Health Centers, Inc.
• Kwchc Pharmacy
• La Porte Regional Physician Network (LP Ortho at Knox)
• Laporte Regional Physician Network (Knox Family Medical Center)
• Laporte Regional Physician Network, Inc.
• Joseph Anthony Lark
• Liberty Dialysis - Duneland LLC (Duneland Dialysis Knox)

• Rural Health Clinic/Center in Knox, IN
• Providers in Knox, IN by specialty
• Rural Health Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• 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.