360 Integrated Medical Center, PC
NPI 1710459458ActiveOrganization· General Practice· La Porte, IN
General Practice in La Porte, Indiana, registered in NPPES in December 2018. The authorized official on file is Matthew Kirkham, Owner.
Overview
| NPI | 1710459458 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 19, 2018 |
| Last updated in NPPES | Dec 19, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Primary | 208D00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other General Practice providers in La Porte
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