Clubhouse Of Saint Joseph County

LBN: Clubhouse Of Saint Joseph County
Clubhouse Of Saint Joseph County is an health care organization with primary practice located at 1216 Wayne St N , South Bend IN 46615-1036. The organization recently has 2 registered licenses in different health care specialties including Agencies / Community/Behavioral Health, Agencies / Voluntary or Charitable. Agencies / Voluntary or Charitable is the primary health care specialty. Clubhouse Of Saint Joseph County can be contacted via phone (574) 360-8409, or through Buchanan, Mark Dale via phone (574) 360-8409.

Contact Information

Primary practice address
1216 Wayne St N South Bend IN 46615-1036
Phone: (574) 360-8409
Fax: (574) 966-1443
Website:
Map and Directions
Authorized official contact:
Name: Buchanan, Mark Dale
Phone: (574) 360-8409

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X
Agencies / Voluntary or Charitable 251V00000X

Profile Details

NPI number 1649723628
LBN Legal business name Clubhouse Of Saint Joseph County
DBA Doing business as
Authorized official Buchanan, Mark Dale
Entity Organization
Organization subpart 1 No
Enumeration date Jul 26th, 2016
Last updated Jul 26th, 2016 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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