NPI 1376841395

Memorial Hospital of South Bend

Organisation Psychiatric Hospital Unit South Bend, IN

Practice location

Address: 420 N Niles Ave, South Bend, IN 46617-1918
Phone: (574) 647-8400
Fax: (574) 647-8410
Mailing address: 615 N Michigan St, South Bend, IN 46601-1033

Authorised official

Name: Jeffrey P Costello
Title: Vp/Cfo
Phone: (574) 647-3549

Registered specialties

Psychiatric Hospital Unit Primary

Hospital Units Taxonomy 273R00000X Licence 005053 (IN)

Other Psychiatric Unit providers in Indiana →

Registry record

NPI: 1376841395
Entity type: Organization
NPI issued: 1 Mar 2011
Record last updated: 21 Feb 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.