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360 INTEGRATED MEDICAL CENTER, PC
NPI 1710459458
General Practice in La Porte, IN

Active since December 19, 2018
2504 MONROE ST, LA PORTE, IN 46350(219) 326-5100(219) 326-0180 Get Directions Write a Review

NPPES record last updated: December 19, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About 360 Integrated Medical Center, Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

360 INTEGRATED MEDICAL CENTER, PC (NPI 1710459458) is a healthcare organization registered as a general practice in La Porte, Indiana and active in the NPI registry since December 2018. The organization lists Matthew Kirkham, Owner, as its authorized official.

NPPES Registry Identity

NPI1710459458
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business Name360 INTEGRATED MEDICAL CENTER, PC
Location Address2504 MONROE STLa Porte, IN 46350-5241
Mailing Address2504 Monroe StLa Porte, IN 46350-5241
Phone(219) 326-5100
Fax(219) 326-0180
Organization SubpartNo
Authorized OfficialMatthew KirkhamOwner · (219) 326-5100
Enumeration DateDecember 19, 2018
✔ NPI 1710459458 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
2504 MONROE ST, La Porte, IN 46350
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. DALE VINCENT APPLEGATE DC
Chiropractor
2504 MONROE ST
LAPORTE, IN 46350
Laporte County (219) 326-5100
APPLEGATE CLINIC OF CHIROPRACTIC INC
Chiropractor
2504 MONROE ST
LAPORTE, IN 46350
Laporte County (219) 326-5100
DR. MATTHEW CHARLES KIRKHAM DC
Chiropractor
2504 MONROE ST
LAPORTE, IN 46350
Laporte County (219) 326-5100
BACK TO HEALTH WELLNESS CENTER, P.C,
Chiropractor
2504 MONROE ST
LA PORTE, IN 46350
Laporte County (219) 326-5100

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is 360 Integrated Medical Center, PC's NPI number?

The NPI number for 360 Integrated Medical Center, PC is 1710459458. It was assigned to this organization in the NPPES registry on December 19, 2018.

Where is 360 Integrated Medical Center, PC located?

360 Integrated Medical Center, PC is located at 2504 Monroe St, La Porte, IN 46350. The listed phone number is (219) 326-5100.

What is 360 Integrated Medical Center, PC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for 360 Integrated Medical Center, PC was last updated on December 19, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.