Memorial Hospital Of South Bend

LBN: Memorial Hospital Of South Bend
Memorial Hospital Of South Bend is an health care organization with primary practice located at 615 N Michigan St , South Bend IN 46601-1033. The organization recently has 8 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, Ambulatory Health Care Facilities / Community Health, Hospital Units / Psychiatric Unit, Hospital Units / Rehabilitation Unit, Hospitals / General Acute Care Hospital, Suppliers / Durable Medical Equipment & Medical Supplies, Transportation Services / Air Transport. Hospitals / General Acute Care Hospital is the primary health care specialty. Memorial Hospital Of South Bend can be contacted via phone (574) 647-1000, or through Costello, Jeffrey via phone (574) 647-3460.

Contact Information

Primary practice address
615 N Michigan St South Bend IN 46601-1033
Phone: (574) 647-1000
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Costello, Jeffrey
Phone: (574) 647-3460

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 005053 Indiana
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 005053 Indiana
Ambulatory Health Care Facilities / Community Health 261QC1500X 005053 Indiana
Hospital Units / Psychiatric Unit 273R00000X
Hospital Units / Rehabilitation Unit 273Y00000X 06-005053 Indiana
Hospitals / General Acute Care Hospital 282N00000X 06-005053 Indiana
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 005053 Indiana
Transportation Services / Air Transport 3416A0800X 005053 Indiana

Profile Details

NPI number 1295772093
LBN Legal business name Memorial Hospital Of South Bend
DBA Doing business as
Authorized official Costello, Jeffrey
Entity Organization
Organization subpart 1 No
Enumeration date Jun 1st, 2006
Last updated May 10th, 2023 - about 2 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 1295772093 NPPES
Indiana MEDICAID 100239890A
Indiana MEDICAID 100269890B
Indiana Other 000000097671
Indiana MEDICAID 200318490A
Indiana MEDICAID 100269910A
Indiana MEDICAID 200713710A
Indiana MEDICAID 200378380A

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