South Bend Medical Foundation, Inc

LBN: South Bend Medical Foundation, Inc
South Bend Medical Foundation, Inc is an health care organization with primary practice located at 530 N Lafayette Blvd , South Bend IN 46601-1004. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, Laboratories / Clinical Medical Laboratory. Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology is the primary health care specialty. South Bend Medical Foundation, Inc can be contacted via phone (574) 204-5206, or through Pipp, Terry via phone (574) 234-7176.

Contact Information

Primary practice address
530 N Lafayette Blvd South Bend IN 46601-1004
Phone: (574) 204-5206
Fax: (574) 245-0339
Website:
Map and Directions
Authorized official contact:
Name: Pipp, Terry
Phone: (574) 234-7176

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X
Laboratories / Clinical Medical Laboratory 291U00000X

Profile Details

NPI number 1649241084
LBN Legal business name South Bend Medical Foundation, Inc
DBA Doing business as
Authorized official Pipp, Terry
Entity Organization
Organization subpart 1 No
Enumeration date Feb 1st, 2006
Last updated Mar 15th, 2024 - about 8 months 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 1649241084 NPPES
Indiana MEDICAID 100112700A
Indiana Other 1H1003494
Indiana Other CB4553
Indiana Other 000000097080
Indiana MEDICAID 169513624
Indiana Other 690164004

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