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General NPI Number Information
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NPI Number | 1760396642
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Entity Type | Organization
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Legal Business Name | PORTER HOSPITAL LLC
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Dates
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Enumeration Date | 09/29/2026
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Last Update Date | 10/02/2026
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Provider Practice Location Address
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Address Line | 2206 ROOSEVELT RD STE B
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City | VALPARAISO
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State | IN
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Zip | 46383-9618
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Country | US
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Telephone | 219-548-9990
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Fax | 219-263-4600
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Provider Business Mailing Address
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Address Line | 85 E US HIGHWAY 6
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City | VALPARAISO
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State | IN
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Zip | 46383-8947
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Country | US
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Telephone | 219-263-4600
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Fax | 219-263-4882
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Authorized Official
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Title or Position | SR DIRECTOR
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Name | PAULA LALOR
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Credential |
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Telephone | 629-215-3953
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number |
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License Number State | NULL
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