National Provider Identifier Database

COMMUNITY HOSPITAL OF LAGRANGE COUNTY INC
Critical Access

Contact Information

COMMUNITY HOSPITAL OF LAGRANGE COUNTY INC
207 N TOWNLINE RD
LAGRANGE, IN  46761-1325
Phone: 260-463-2143
Fax: 260-463-3190
Website:
Specialty Taxonomy Code
* Critical Access 282NC0060X
Institutional Pharmacy 3336I0012X

* Indicates primary specialty

NPI Profile & details for COMMUNITY HOSPITAL OF LAGRANGE COUNTY INC

NPI Number 1679674956
Legal business name
LBN		 COMMUNITY HOSPITAL OF LAGRANGE COUNTY INC
Authorized official JESSICA LEE-HANSEN - (CFO)
Entity Organization
Organization subpart Yes
Enumeration date 09/26/2006
Last updated 03/02/2026 - About 3 months ago
Sole proprietor1 Not specified
Identifiers
  • IN License #: 06-005085-1
  • IN Medicaid: 200524440A
  • MI Medicaid: 304768658
  • MI Medicaid: 404768667
  • Other: 1527449 NCPDP
  • IN Other: 000000361618 ANTHEM IDENTIFICATION #
  • IN Other: 611159000 BLACK LUNG ID #
  • IN Other: 0000000361618 INDIANA COMP. ID #
  • IN Other: 000000030598 MPLAN ID #
  • IN Other: 18383 PHP IDENTIFICATION #

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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