South Bend Medical Foundation, Inc
LBN: South Bend Medical Foundation, Inc
South Bend Medical Foundation, Inc is an health care organization with primary practice located at 530 N Lafayette Blvd , South Bend IN 46601-1004. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, Laboratories / Clinical Medical Laboratory. Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology is the primary health care specialty.
South Bend Medical Foundation, Inc can be contacted via phone (574) 204-5206, or through Pipp, Terry via phone (574) 234-7176.
Contact Information
Primary practice address
530 N Lafayette Blvd
South Bend IN 46601-1004
Phone: (574) 204-5206
Fax: (574) 245-0339
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | ||
| Laboratories / Clinical Medical Laboratory | 291U00000X |
Profile Details
| NPI number | 1649241084 |
|---|---|
| LBN Legal business name | South Bend Medical Foundation, Inc |
| DBA Doing business as | |
| Authorized official | Pipp, Terry |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 1st, 2006 |
| Last updated | Mar 15th, 2024 - about 2 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1649241084 | NPPES |
| Indiana | MEDICAID | 100112700A | |
| Indiana | Other | 1H1003494 | |
| Indiana | Other | CB4553 | |
| Indiana | Other | 000000097080 | |
| Indiana | MEDICAID | 169513624 | |
| Indiana | Other | 690164004 |
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