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MEMORIAL HOSPITAL OF SOUTH BEND NPI 1295772093


NPI Information

NPI: 1295772093
Provider Name: MEMORIAL HOSPITAL OF SOUTH BEND
Classification: General Acute Care Hospital - 282N00000X
Entity Type: Organization
Address:
615 N MICHIGAN ST
SOUTH BEND, IN
ZIP 46601
Phone: (574) 647-1000
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MEMORIAL HOSPITAL OF SOUTH BEND is a general acute care hospital in South Bend, IN. The provider is an acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. MEMORIAL HOSPITAL OF SOUTH BEND NPI is 1295772093. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

615 N MICHIGAN ST
SOUTH BEND, IN
ZIP 46601-033
Phone: (574) 647-1000

The provider's authorized official is Jeffrey Costello .
The authorized official title is Cfo and has the following contact phone number (574) 647-3460.

The enumeration date for this NPI number is 6/1/2006 and was last updated on 5/10/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207P00000XEmergency Medicine005053INDIANANo
2225X00000XOccupational Therapist005053INDIANANo
3261QC1500XClinic/CenterCommunity Health005053INDIANANo
4273R00000XPsychiatric UnitNo
5273Y00000XRehabilitation Unit06-005053INDIANANo
6332B00000XDurable Medical Equipment & Medical Supplies005053INDIANANo
73416A0800XAmbulanceAir Transport005053INDIANANo
8282N00000XGeneral Acute Care Hospital06-005053INDIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1100239890AMEDICAIDINDIANA
2100269890BMEDICAIDINDIANA
3000000097671OTHERINDIANAANTHEM PIN
4200318490AMEDICAIDINDIANA
5100269910AMEDICAIDINDIANA
6200713710AMEDICAIDINDIANA
7200378380AMEDICAIDINDIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.