| NPI | 1073680419 |
|---|---|
| Other Name | SOUTH BEND CLINIC |
| Entity Type | Organization |
| Authorized Contact | PAUL J MEYER Executive Director 574-237-9201 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 261QA1903X Clinic/Center, Ambulatory Surgical |
| 291U00000X Clinical Medical Laboratory (Licence: IN 15D0357414) | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2024-07-10 |