Community Hospital Of Lagrange County Inc
Critical Access
207 N Townline Rd, Lagrange
Indiana, 46761-1325
260-463-2143 260-463-3190
Community Hospital Of Lagrange County Inc is an authorized DME supplier for medicare equipments and products.
Community Hospital Of Lagrange County Inc is a Critical Access in Lagrange, Indiana. This organization is also known as sub part of Community Hospital Of Lagrange County Inc. It is located at 207 N Townline Rd, Lagrange and it's customer support contact number is 260-463-2143. The authorized person of Community Hospital Of Lagrange County Inc is Mr. Stanton Risser who is Interim Cfo - Vp Finance of the pharmacy and his contact number is 260-266-9380. Active license number of Community Hospital Of Lagrange County Inc is 06-005085-1 for Critical Access in Indiana. Community Hospital Of Lagrange County Inc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Community Hospital Of Lagrange County Inc is definition to come.
Pharmacy Details:
Community Hospital Of Lagrange County Inc type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Community Hospital Of Lagrange County Inc |
| Type: | Critical Access |
| Location: | 207 N Townline Rd, Lagrange, Indiana, 46761-1325 |
| Phone: | 260-463-2143 |
| Fax: | 260-463-3190 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Mr. Stanton Risser |
| Position: | Interim Cfo - Vp Finance |
| Contact Number: | 260-266-9380 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1679674956 |
| Parent Organization: | Community Hospital Of Lagrange County Inc |
| NPI Enumeration Date: | 26 Sep, 2006 |
| NPI Last Update On: | 31 Oct, 2024 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Community Hospital Of Lagrange County Inc are as mentioned below.
| Specialization | License Number | State | Status | |
| Critical Access | 06-005085-1 | Indiana | Primary | |
| Institutional Pharmacy | | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 000000361618 | Other | Indiana | Anthem Identification # |
| 404768667 | Medicaid | Michigan | |
| 0000000361618 | Other | Indiana | Indiana Comp. Id # |
| 18383 | Other | Indiana | Php Identification # |
| 200524440A | Medicaid | Indiana | |
| 304768658 | Medicaid | Michigan | |
| 000000030598 | Other | Indiana | Mplan Id # |
| 611159000 | Other | Indiana | Black Lung Id # |
| 1527449 | Other | | Ncpdp |
Medicare Enrollment:
Community Hospital Of Lagrange County Inc is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 1355382706 | O20140318000136 | Community Hospital Of Lagrange County, Inc. | PART A PROVIDER - CRITICAL ACCESS HOSPITAL |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Po Box 5600, Fort Wayne, Indiana |
| Zip: | 46895-5600 |
| Phone Number: | 260-373-7008 |
| Fax Number: | 260-373-7059 |
Patients can reach Community Hospital Of Lagrange County Inc at
207 N Townline Rd, Lagrange, Indiana or can
call on customer care at 260-463-2143.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.