| Laporte Regional Physician Network | |
|
506 Michigan St Walkerton IN 46574-1116 | |
| (574) 586-3114 | |
| (574) 586-7815 |
| Full Name | Laporte Regional Physician Network |
|---|---|
| Speciality | Family Medicine |
| Location | 506 Michigan St, Walkerton, Indiana |
| Authorized Official Name and Position | Rhonda Volk (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2193262485 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Laporte Regional Physician Network Po Box 1690 La Porte IN 46352-1690 Ph: (219) 326-2312 | Laporte Regional Physician Network 506 Michigan St Walkerton IN 46574-1116 Ph: (574) 586-3114 |
| NPI Number | 1649381021 |
|---|---|
| Provider Enumeration Date | 08/31/2006 |
| Last Update Date | 06/05/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649381021 | NPI | - | NPPES |
| 100165070F | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |