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COMMUNITY HOSPITAL OF LAGRANGE COUNTY INC

Critical Access

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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 Specialty Code Provider Type

Critical Access

 282NC0060X A0[7] Critical Access Hospital
 

Institutional Pharmacy

 3336I0012X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for COMMUNITY HOSPITAL OF LAGRANGE COUNTY INC

NPI # 1679674956
LBN Legal business name COMMUNITY HOSPITAL OF LAGRANGE COUNTY INC
Authorized official JESSICA LEE-HANSEN - (CFO)
Entity Organization
Organization subpart 1 Yes
Enumeration date 09/26/2006
Last updated 03/02/2026 - About 3 months ago
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 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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