Northern Indiana MCH Network

Primary specialty

Ambulatory Family Planning FacilityTaxonomy code 261QA0005X

Legal business name

NORTHERN INDIANA MCH NETWORK

Practice address

244 S Olive St
South Bend, IN 46619-2100

Phone

(574) 282-3230

NPI assigned

Mar 11, 2015

Organization subpart

No

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

Authorized official

Name

Melinda Konrath

Title

Executive Director

Phone

(574) 282-3230

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Northern Indiana Maternal and Child Health Network2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Northern Indiana Maternal and Child Health Network, Inc

  • Ambulatory Family Planning Facility
  • South Bend, IN
  • NPI 1528151602
  NPD tax ID

Locations

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

{
    "created_epoch": "1426032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426032000000",
    "number": "1972996247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "244 S OLIVE ST",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466192100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "244 S OLIVE ST",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466192100",
            "telephone_number": "574-282-3230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN INDIANA MCH NETWORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-11",
        "last_updated": "2015-03-11",
        "status": "A",
        "authorized_official_last_name": "KONRATH",
        "authorized_official_first_name": "MELINDA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "574-282-3230"
    },
    "taxonomies": [
        {
            "code": "261QA0005X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Family Planning Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200817480",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Northern Indiana Anesthesia Associates, LLC
• Northern Indiana Health Center
• Northern Indiana Hearing Center
• Northern Indiana Magnetic Resonance Center, LLP
• Northern Indiana Maternal and Child Health Network, Inc
• Northern Indiana Oncology Associates LLC
• Northern Indiana Optometrists, PC
• Northern Indiana Orthopaedic Specialty Associates, PC
• Northern Indiana Rehabilitation Medicine, Inc.
• Erica K Northern

• Ambulatory Family Planning Facility in South Bend, IN
• Providers in South Bend, IN by specialty
• Ambulatory Family Planning Facility in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2015; 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.