NPI 1235802612

The South Bend Clinic LLC

Organisation Durable Medical Equipment & Medical Supplies Granger, IN

Practice location

Address: 52500 Fir Rd, Granger, IN 46530-8579
Phone: (574) 271-0700
Mailing address: 6301 University Commons STE 230, South Bend, IN 46635-1590

Authorised official

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

Registered specialties

Durable Medical Equipment & Medical Supplies Primary

Suppliers Taxonomy 332B00000X

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Registry record

NPI: 1235802612
Entity type: Organization
NPI issued: 30 Jul 2021
Record last updated: 22 Mar 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.