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 is a General Practice Physician 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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