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INDIANA UNIVERSITY SOUTH BEND HEALTH & WELLNESS CENTER NPI 1952721185


NPI Information

NPI: 1952721185
Provider Name: INDIANA UNIVERSITY SOUTH BEND HEALTH & WELLNESS CENTER
Classification: Internal Medicine - 207R00000X
Entity Type: Organization

CLIA Number: 15D1005774

Address:
941 20TH STREET
SOUTH BEND, IN
ZIP 46634
Phone: (574) 520-5557
Get Directions

INDIANA UNIVERSITY SOUTH BEND HEALTH & WELLNESS CENTER is an internal medicine in South Bend, IN. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. INDIANA UNIVERSITY SOUTH BEND HEALTH & WELLNESS CENTER NPI is 1952721185. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

941 20TH STREET
SOUTH BEND, IN
ZIP 46634-111
Phone: (574) 520-5557
Fax: (574) 520-5042

The provider's authorized official is Mario Ortiz .
The authorized official title is Dean And Professor and has the following contact phone number (574) 520-5557.

The CLIA number assigned to this NPI record is 15D1005774 - school/student health service with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/28/2014 and was last updated on 4/28/2014.


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
1164W00000XLicensed Practical Nurse28076706AINDIANANo
2164W00000XLicensed Practical Nurse28156667AINDIANANo
3302R00000XHealth Maintenance OrganizationNo
4207R00000XInternal Medicine01046709INDIANAYes

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

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