South Bend Clinic
LBN: The South Bend Clinic Llc
South Bend Clinic is an health care organization with primary practice located at 211 N Eddy St , South Bend IN 46617-2808. The organization recently has 4 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Clinic/Center, Ambulatory Health Care Facilities / Ambulatory Surgical, Laboratories / Clinical Medical Laboratory, Suppliers / Durable Medical Equipment & Medical Supplies. Ambulatory Health Care Facilities / Clinic/Center is the primary health care specialty.
The South Bend Clinic Llc can be contacted via phone (574) 299-2450, or through Meyer, Paul J via phone (574) 237-9201.
Contact Information
Primary practice address
211 N Eddy St
South Bend IN 46617-2808
Phone: (574) 299-2450
Fax: (574) 299-2415
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Clinic/Center | 261Q00000X | ||
| Ambulatory Health Care Facilities / Ambulatory Surgical | 261QA1903X | Indiana | |
| Laboratories / Clinical Medical Laboratory | 291U00000X | 15D0357414 | Indiana |
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X |
Profile Details
| NPI number | 1073680419 |
|---|---|
| LBN Legal business name | The South Bend Clinic Llc |
| DBA Doing business as | South Bend Clinic |
| Authorized official | Meyer, Paul J |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 29th, 2006 |
| Last updated | Jul 10th, 2024 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1073680419 | NPPES |
| Indiana | MEDICAID | 100442630 |
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