THE SOUTH BEND CLINIC LLC – NPI #1538832910
Durable Medical Equipment & Medical Supplies

A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

Health Care Provider Taxonomy Code for Durable Medical Equipment & Medical Supplies

THE SOUTH BEND CLINIC LLC is a DME supplier located in SOUTH BEND, IN. NPPES has assigned the NPI number 1538832910 to THE SOUTH BEND CLINIC LLC on July 30, 2021. It is a Type-2 NPI, indicating this NPI number is associated with an organization. THE SOUTH BEND CLINIC LLC is also known by the name THE SOUTH BEND CLINIC IRONWOOD. The primary taxonomy selected by this provider is 332B00000X from the Health Care Provider Taxonomy code set, which is classified as Durable Medical Equipment & Medical Supplies.

The NPI profile was previously updated about 4 years ago on Mar 22, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for THE SOUTH BEND CLINIC LLC below.

NPI Profile for
THE SOUTH BEND CLINIC LLC

NPI Number
1538832910
Enumeration Date

(about 5 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
THE SOUTH BEND CLINIC LLC
Other Name: THE SOUTH BEND CLINIC IRONWOOD
Primary location
2102 E INWOOD RD
SOUTH BEND, IN 46614-2443
Phone: (574) 299-2400 Fax:
Mailing address
6301 UNIVERSITY COMMONS STE 230
SOUTH BEND, IN 46635-1590
Phone: (574) 239-1567 Fax: (574) 239-1458
Organization Subpart
No
Authorized Official
JENNIFER HILER
CREDENTIALING COORDINATOR
Phone: (574) 239-1567
Updated
Certification Date
Mar 22, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
332B00000X
- Durable Medical Equipment & Medical Supplies (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.