MEMORIAL HEALTH SYSTEM INC. NPI 1073554994

NPI Information

  • NPI: 1073554994
  • Provider Name: MEMORIAL HEALTH SYSTEM, INC.
  • Classification: Internal Medicine - 207RC0000X
  • Specialization: Cardiovascular Disease
  • Entity Type: Organization
  • Doing Business As: HEART SPECIALISTS PC
  • Address: 621 MEMORIAL DR
    SUITE 608
    SOUTH BEND, IN
    ZIP 46601
  • Phone: (574) 232-3522

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NPI Details

MEMORIAL HEALTH SYSTEM, INC. is a cardiovascular disease internal medicine in South Bend, IN. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. MEMORIAL HEALTH SYSTEM, INC. NPI is 1073554994. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Heart Specialists Pc.

The provider's business location address is:

621 MEMORIAL DR
SUITE 608
SOUTH BEND, IN
ZIP 46601-063
Phone: (574) 232-3522
Fax: (574) 232-3526

The provider's authorized official is Jeffrey P. Costello .
The authorized official title is Vp/cfo and has the following contact phone number (574) 647-3549.

The enumeration date for this NPI number is 6/10/2006 and was last updated on 8/30/2016.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RC0000XInternal MedicineCardiovascular Disease01043726AINDIANAYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1217820MEDICARE PININDIANA
2259100MEDICARE PININDIANA

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: 11/21/2025

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