IMPACT COMMUNITY ECONOMIC DEVELOPMENT CORP NPI 1447128087

NPI Information

  • NPI: 1447128087
  • Provider Name: IMPACT COMMUNITY ECONOMIC DEVELOPMENT CORP
  • Classification: Clinic/Center - 261QC1500X
  • Specialization: Community Health
  • Entity Type: Organization
  • Address: 2404 LINCOLN WAY W
    SOUTH BEND, IN
    ZIP 46628
  • Phone: (574) 366-0801

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NPI Details

IMPACT COMMUNITY ECONOMIC DEVELOPMENT CORP is a community health clinic center in South Bend, IN. IMPACT COMMUNITY ECONOMIC DEVELOPMENT CORP NPI is 1447128087. The provider is registered as an organization entity type.

The provider's business location address is:

2404 LINCOLN WAY W
SOUTH BEND, IN
ZIP 46628-916
Phone: (574) 366-0801

The provider's authorized official is Edwin A Newsome .
The authorized official title is Ceo and has the following contact phone number (574) 216-3497.

The enumeration date for this NPI number is 10/27/2025 and was last updated on 10/31/2025.

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
1261QC1500XClinic/CenterCommunity HealthYes

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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