NPI 1376691154

Madison Center, INC.

Organisation Psychiatric Hospital South Bend, IN

Practice location

Address: 403 E Madison St, South Bend, IN 46617-2322
Phone: (574) 234-0061
Fax: (574) 283-1209

Authorised official

Name: Brenda J Clanton
Title: Contracts Manager
Phone: (574) 283-1107

Registered specialties (2)

Psychiatric Hospital Primary

Hospitals Taxonomy 283Q00000X Licence 406-1-PIP (IN)

Other Psychiatric Hospital providers in Indiana →

Mental Health Clinic/Center (Including Community Mental Health Center)

Ambulatory Health Care Facilities Taxonomy 261QM0801X Licence 406-1-PIP (IN)

Other Clinic/Center providers in Indiana →

Registry record

NPI: 1376691154
Entity type: Organization
NPI issued: 8 Jan 2007
Record last updated: 7 Apr 2010

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.