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 |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
261QA1903X Clinic/Center, Ambulatory Surgical | |
291U00000X Clinical Medical Laboratory (Licence: IN 15D0357414) | |
Enumeration Date | 2006-11-29 |
Last Update Date | 2022-03-23 |