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The South Bend Clinic LLC

Organization Active NPI Durable Medical Equipment & Medical Supplies · New Carlisle, IN

NPI 1851064232 · NPPES record last updated Mar 22, 2022

Key facts

NPI
1851064232
Entity type
Organization (NPI type 2)
Primary specialty
Durable Medical Equipment & Medical Supplies 332B00000X
Legal business name
THE SOUTH BEND CLINIC LLC
Practice address
8984 E US Highway 20
New Carlisle, IN 46552-9038
Phone
(574) 654-8490
NPI assigned
Jul 30, 2021
Organization subpart
No

Authorized official

Name
Jennifer Lynn Hiler
Title
Credentialing Coordinator
Phone
(574) 239-1567

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
15D0356892South Bend Clinic/New Carlisle
8984 E US 20, New Carlisle, IN 46552		Certificate of waiverNov 22, 2027

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Yes

Addresses

Primary practice location

8984 E US Highway 20
New Carlisle, IN 46552-9038

Mailing address

6301 University Commons Ste 230
South Bend, IN 46635-1590
Phone (574) 239-1567

Other names

  • The South Bend Clinic New Carlisle Other name

Other providers in New Carlisle, IN

All providers in New Carlisle, IN · Durable Medical Equipment & Medical Supplies in Indiana

Sources for this page

Verify at the official NPI Registry.