The South Bend Clinic Llc in South Bend - Clinic/center
The South Bend Clinic Llc - NPI 1073680419
The South Bend Clinic Llc is a Clinic/center in South Bend, Indiana. The South Bend Clinic Llc practices all healthcare services and medical treatments related to Clinic/center. The NPI Number for The South Bend Clinic Llc is 1073680419. The last update date is 2022-03-23.
The South Bend Clinic Llc's current location address is Po Box 1755, South Bend, Indiana. You can contact this provider via phone number 5742992450 and fax number 5742992415. The mailing address for The South Bend Clinic Llc is Po Box 1755, South Bend, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | The South Bend Clinic Llc |
|---|---|
| Address | Po Box 1755, South Bend, Indiana |
| Phone Number | 5742992450 |
| Fax Number | 5742992415 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Meyer J Paul |
| Telephone Number | 5742379201 |
NPI Number Detail
| NPI Number | 1073680419 |
|---|---|
| Provider Enumeration Date | 2006-11-29 |
| Last Updated Date | 2022-03-23 |
Provider Mailing Address Detail
| Address | Po Box 1755 |
|---|---|
| City | South Bend |
| State | Indiana (IN) |
| Post Code | 466341755 |
| Phone Number | 5742992450 |
| Fax Number | 5742992415 |
Provider's Primary Taxonomy Detail
| Speciality | Clinic/center |
|---|---|
| Taxonomy | 261Q00000X |
|
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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 100442630 | IN | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to The South Bend Clinic Llc by the Centers for Medicare & Medicaid Services?
The The South Bend Clinic Llc has been assigned the NPI (National Provider Identifier) 1073680419 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete physical address where The South Bend Clinic Llc is located?
The The South Bend Clinic Llc is situated at the following address: Po Box 1755, South Bend, IN, 466341755.
What is The South Bend Clinic Llc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for The South Bend Clinic Llc is Clinic/center, and the taxonomy code that classifies this field of practice is 261Q00000X.
When did The South Bend Clinic Llc receive its 1073680419 assignment?
The The South Bend Clinic Llc was assigned its 1073680419 on 2006-11-29, which is the date when this unique identifier was issued to the organization.
As of what date were the details pertaining to The South Bend Clinic Llc last refreshed?
The information related to the The South Bend Clinic Llc, including its address, specialty, and other relevant details, was last updated on 2022-03-23.