NPIMap

Organization Active NPI

Community Hospital of Lagrange County, Inc.

Doing business as Parkview LaGrange Hospital

  • Land Ambulance
  • Lagrange, IN
National Provider Identifier
1801997184
Registry record updated Oct 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
0186 Issued in IN
Legal business name
COMMUNITY HOSPITAL OF LAGRANGE COUNTY, INC.
Doing business as
Parkview LaGrange Hospital
Practice address
207 N Townline Rd
Lagrange, IN 46761-1325
Phone
(260) 463-2143
Fax
(260) 463-3190
NPI assigned
Sep 26, 2006
Last updated
Oct 31, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
COMMUNITY HOSPITAL OF LAGRANGE COUNTY, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 31, 2024

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

Authorized official

Name
Mr. Stan Risser
Title
Acfo
Phone
(260) 266-9380

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 0186 IN Primary

Addresses

Primary practice location

207 N Townline Rd
Lagrange, IN 46761-1325

Mailing address

PO Box 5600
Fort Wayne, IN 46895-5600
Phone (260) 373-7008

Other identifiers 2

IdentifierTypeStateIssuer
200523840AMedicaidIN
611159100OtherINBLACK LUNG ID#

Other names 1

  • Parkview LaGrange Hospital Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Community Hospital of4 organizations share this tax ID, including this one
Part of
Community Hospital of

Other organizations with this tax ID 3

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

NPI Registry JSON

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730332800000",
    "number": "1801997184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5600",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468955600",
            "telephone_number": "260-373-7008",
            "fax_number": "260-373-7059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 N TOWNLINE RD",
            "city": "LAGRANGE",
            "state": "IN",
            "postal_code": "467611325",
            "telephone_number": "260-463-2143",
            "fax_number": "260-463-3190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY HOSPITAL OF LAGRANGE COUNTY, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COMMUNITY HOSPITAL OF LAGRANGE COUNTY, INC.",
        "enumeration_date": "2006-09-26",
        "last_updated": "2024-10-31",
        "certification_date": "2024-10-31",
        "status": "A",
        "authorized_official_last_name": "RISSER",
        "authorized_official_first_name": "STAN",
        "authorized_official_title_or_position": "ACFO",
        "authorized_official_telephone_number": "260-266-9380",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "IN",
            "license": "0186",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200523840A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLACK LUNG ID#",
            "identifier": "611159100",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Parkview LaGrange Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lagrange, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2024; 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.