The South Bend Clinic Llp | |
211 N Eddy St South Bend IN 46617-2808 | |
(574) 246-8816 | |
(574) 237-9309 |
Full Name | The South Bend Clinic Llp |
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Speciality | Clinic/center |
Location | 211 N Eddy St, South Bend, Indiana |
Authorized Official Name and Position | Kelly E. Macken-marble (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 5742379201 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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The South Bend Clinic Llp Po Box 715223 Cincinnati OH 45271-5223 Ph: (574) 299-2450 | The South Bend Clinic Llp 211 N Eddy St South Bend IN 46617-2808 Ph: (574) 246-8816 |
NPI Number | 1538257167 |
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Provider Enumeration Date | 10/10/2006 |
Last Update Date | 01/10/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1538257167 | NPI | - | NPPES |
200266980A | Medicaid | IN |
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