Organization · Type 2 NPI

The South Bend Clinic LLC

Clinic/Center · South Bend, IN

NPI number 1073680419 Active

Practice location

211 N Eddy St
South Bend, IN 46617-2808

Fax (574) 299-2415

Mailing address

6301 University Commons Ste 230
South Bend, IN 46635-1590

Other practice locations

  • 6301 University Commons Ste 230, South Bend, IN 46635-1590 · (574) 251-2115

Specialties and licenses

TaxonomyCodeLicense
Clinic/Center Primary 261Q00000XNone listed
Ambulatory Surgical Clinic/Center 261QA1903XNone listed
Clinical Medical Laboratory 291U00000X15D0357414 (IN)
Durable Medical Equipment & Medical Supplies 332B00000XNone listed

Clinic/Center: 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., radiology, poor, and public health).

125 other providers at this address

Other clinic/center providers in South Bend

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About NPI 1073680419

The South Bend Clinic LLC's National Provider Identifier is 1073680419, issued on Nov 29, 2006. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in South Bend, IN. The record was last updated on Jul 10, 2024.