Family Medicine Of South Bend Pc

LBN: Family Medicine Of South Bend Pc
Family Medicine Of South Bend Pc is an health care organization with primary practice located at 610 N Michigan Street Suite 308, South Bend IN 46601. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Family Medicine Of South Bend Pc can be contacted via phone (574) 239-4602, or through Cardenas, Ana S via phone (574) 239-4602.

Contact Information

Primary practice address
610 N Michigan Street Suite 308 South Bend IN 46601
Phone: (574) 239-4602
Fax: (574) 239-4607
Website:
Map and Directions
Authorized official contact:
Name: Cardenas, Ana S Doctor of Medicine (MD)
Phone: (574) 239-4602

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X Indiana

Profile Details

NPI number 1356432538
LBN Legal business name Family Medicine Of South Bend Pc
DBA Doing business as
Authorized official Cardenas, Ana S Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 27th, 2006
Last updated Jul 9th, 2008 - about 16 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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Identifiers

StateTypeNumberIssuer
All States NPI 1356432538 NPPES
Indiana MEDICAID 100090560A

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