Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

360 Integrated Medical Center, PC

Organization General Practice Physician · NPI 1710459458

360 Integrated Medical Center, PC provides General Practice Physician services in LA Porte, Indiana. Registered with an NPI since 2018.

In the registry since
2018
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2504 Monroe St
LA Porte, IN 46350-5241
Phone: (219) 326-5100
Fax: (219) 326-0180
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X

Record details

NPI number1710459458
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Matthew Kirkham — Owner · (219) 326-5100
NPI enumeratedDecember 19, 2018
Last updated in NPPESDecember 19, 2018
Mailing address2504 Monroe St, La Porte, IN 46350-5241

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