Indiana University South Bend Health & Wellness Center
LBN: Indiana University South Bend Health & Wellness Center
Indiana University South Bend Health & Wellness Center is an health care organization with primary practice located at 941 20Th Street , South Bend IN 46634-7111. The organization recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Licensed Practical Nurse, Allopathic & Osteopathic Physicians / Internal Medicine, Managed Care Organizations / Health Maintenance Organization. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty.
Indiana University South Bend Health & Wellness Center can be contacted via phone (574) 520-5557, or through Ortiz, Mario via phone (574) 520-5557.
Contact Information
Primary practice address
941 20Th Street
South Bend IN 46634-7111
Phone: (574) 520-5557
Fax: (574) 520-5042
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Nursing Service Providers / Licensed Practical Nurse | 164W00000X | 28076706A | Indiana |
Nursing Service Providers / Licensed Practical Nurse | 164W00000X | 28156667A | Indiana |
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 01046709 | Indiana |
Managed Care Organizations / Health Maintenance Organization | 302R00000X |
Profile Details
NPI number | 1952721185 |
---|---|
LBN Legal business name | Indiana University South Bend Health & Wellness Center |
DBA Doing business as | |
Authorized official | Ortiz, Mario RN; PHD; PHCNS-BC |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Apr 28th, 2014 |
Last updated | Apr 28th, 2014 - about 11 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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