Mercedes Del Carmen Moran in South Bend - Clinic/center
Mercedes Del Carmen Moran - NPI 1710954102
Mercedes Del Carmen Moran is a Clinic/center in South Bend, Indiana. Mercedes Del Carmen Moran practices all healthcare services and medical treatments related to Clinic/center. The NPI Number for Mercedes Del Carmen Moran is 1710954102. The last update date is 2018-01-05.
Mercedes Del Carmen Moran's current location address is 710 N Niles Ave, South Bend, Indiana. You can contact this provider via phone number 5746471610. The mailing address for Mercedes Del Carmen Moran is 710 N Niles Ave, South Bend, Indiana. To know further, please read the information below!
Provider Profile Detail
Provider Name | Mercedes Del Carmen Moran |
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Address | 710 N Niles Ave, South Bend, Indiana |
Phone Number | 5746471610 |
Fax Number | |
Sole Proprietor | Y |
Credentials | CNM |
NPI Number Detail
NPI Number | 1710954102 |
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Provider Enumeration Date | 2006-03-03 |
Last Updated Date | 2018-01-05 |
Provider Mailing Address Detail
Address | 710 N Niles Ave |
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City | South Bend |
State | Indiana (IN) |
Post Code | 466171924 |
Phone Number | 5746471610 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Clinic/center |
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Taxonomy | 261Q00000X |
Licence No | 4704237039 |
Definition: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
80642 | IN | BCBS BMG SOUTHEAST NEIGHBORHOO | |
815003 | IN | BCBS BMG CENTENNIAL NEIGHBORHO | |
236040264 | IN | MEDICARE PTAN | |
814990 | IN | BCBS BMG CENTRAL NEIGHBORHOOD | |
200530760 | IN | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Mercedes Del Carmen Moran by the Centers for Medicare & Medicaid Services?
The Mercedes Del Carmen Moran has been issued the NPI (National Provider Identifier) 1710954102 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the Mercedes Del Carmen Moran's physical address?
The Mercedes Del Carmen Moran is physically located at 710 N Niles Ave, in the city of South Bend, IN, with the postal code 466171924.
What is Mercedes Del Carmen Moran's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Mercedes Del Carmen Moran is Clinic/center, and the taxonomy classification code that categorizes this area of expertise is 261Q00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1710954102 to Mercedes Del Carmen Moran?
The Centers for Medicare & Medicaid Services originally issued the 1710954102 to Mercedes Del Carmen Moran on 2006-03-03.
When was the Mercedes Del Carmen Moran's information last updated?
The Mercedes Del Carmen Moran's information was last updated on 2018-01-05.