| NPI | 1912327693 |
|---|---|
| Doing Business As | SOUTH BEND AT OAKLAWN |
| Entity Type | Organization |
| Authorized Contact | TRACY J NAGEL CFO 317-576-1335 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2014-04-22 |
| Last Update Date | 2023-03-17 |