NPIMap

Organization Active NPI

Community Health Partners of South Bend, Inc.

Doing business as Bendix Family Physicians

  • Primary Care Clinic/Center
  • South Bend, IN
National Provider Identifier
1093954950
Registry record updated Sep 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
COMMUNITY HEALTH PARTNERS OF SOUTH BEND, INC.
Doing business as
Bendix Family Physicians
Practice address
1010 N Bendix Dr
South Bend, IN 46628-1925
Phone
(574) 245-4980
Fax
(574) 245-4981
NPI assigned
Feb 16, 2009
Last updated
Sep 22, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Josephine M. Iden, BA, AS, CMA
Title
Executive Director
Phone
(574) 245-4980

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

1010 N Bendix Dr
South Bend, IN 46628-1925

Mailing address

PO Box 3998
South Bend, IN 46619-0998
Phone (574) 245-4980

Other identifiers 1

IdentifierTypeStateIssuer
200949510AMedicaidIN

Other names 1

  • Bendix Family Physicians Doing business as

National Provider Directory

National Provider Directory

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

Locations

1010 N Bendix Dr
South Bend, IN 46628
Phone (574) 245-4980

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1234742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253577600000",
    "number": "1093954950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3998",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466190998",
            "telephone_number": "574-245-4980",
            "fax_number": "574-245-4981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 N BENDIX DR",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466281925",
            "telephone_number": "574-245-4980",
            "fax_number": "574-245-4981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY HEALTH PARTNERS OF SOUTH BEND, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-16",
        "last_updated": "2009-09-22",
        "status": "A",
        "authorized_official_last_name": "IDEN",
        "authorized_official_first_name": "JOSEPHINE",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "574-245-4980",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "BA, AS, CMA"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200949510A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bendix Family Physicians",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in South Bend, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.