THE SOUTH BEND CLINIC LLP (NPI# 1174187553) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174187553 |
| Entity Type | Organization |
| Organization Name | THE SOUTH BEND CLINIC LLP |
| Practice Address |
301 E Day Rd Mishawaka IN 46545-3455 |
| Mailing Address |
211 N Eddy St South Bend IN 46617-3096 |
| Practice Telephone | 5742047260 |
| Mailing Telephone | 5742379295 |
| Mailing Fax Number | 5742391554 |
| Enumeration Date | 2019-05-01 |
| Last Update Date | 2019-05-01 |
| Authorized Official Name | ELIZABETH GERALD (PHARMACY MANAGER) |
| Authorized Official Telephone | 5742379295 |
| Authorized Official Credential | PHARMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0002X |
Pharmacy Specialization: Clinic Pharmacy |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 100300930 | 05 |
| Other Name | Type Code |
|---|---|
| The South Bend Clinic Pharmacy at Day Rd | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598376485 | The South Bend Clinic LLP | Durable Medical Equipment & Medical Supplies | 6301 University Commons Ste 100, South Bend, IN 46635-1571 | 2020-08-13 |
| 1073680419 | The South Bend Clinic LLP | Durable Medical Equipment & Medical Supplies | 211 N Eddy St, South Bend, IN 46617-2808 | 2006-11-29 |
| 1538257167 | The South Bend Clinic LLP | Clinic/Center | 211 N Eddy St, South Bend, IN 46617-2808 | 2006-10-10 |
| Street Address |
301 E DAY RD |
| City | MISHAWAKA |
| State | IN |
| Zip Code | 46545-3455 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548250186 | Kathryn L Park | Physical Medicine & Rehabilitation | 301 E Day Rd, Mishawaka, IN 46545-3455 | 2005-10-25 |
| 1972800068 | Cancer Care Partners LLC | Pharmacy | 301 E Day Rd, Mishawaka, IN 46545-3455 | 2011-02-25 |
| 1265735674 | Cancer Care Partners, LLC | General Acute Care Hospital | 301 E Day Rd, Mishawaka, IN 46545-3455 | 2010-12-08 |
| 1164749552 | Yufeng Kevin Wu | Internal Medicine | 301 E Day Rd, Ste 200, Mishawaka, IN 46545-3455 | 2010-04-26 |
| 1134357213 | Sayuri Cheruvu | Internal Medicine | 301 E Day Rd, Mishawaka, IN 46545-3455 | 2009-06-26 |
| 1558518720 | Michiana Dental Sleep, LLC. | Dentist | 301 E Day Rd, Suite 100, Mishawaka, IN 46545-3455 | 2008-08-19 |
| 1366604480 | Ellen Anne Szwed | Internal Medicine | 301 E Day Rd, Mishawaka, IN 46545-3455 | 2008-06-30 |
| 1639266000 | Dawn R Case | Nurse Practitioner | 301 E Day Rd, Ste 200, Mishawaka, IN 46545 | 2006-10-06 |
| 1184663742 | Shamila Garg | Internal Medicine | 301 E Day Rd, Mishawaka, IN 46545-3455 | 2006-06-06 |
| 1598748121 | Rebecca Susanne Rockers | Family Medicine | 301 E Day Rd, Mishawaka, IN 46545-3455 | 2005-11-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649824103 | Senior Helpers | In Home Supportive Care | 230 Catalpa Drive Suite B, Mishawaka, IN 46545 | 2019-08-01 |
| 1093272114 | Candice Marie Greathouse | Physical Therapy Assistant | 3630 Hickory Road, Mishawaka, IN 46545 | 2019-02-25 |
| 1639662596 | Mishawaka Rcf Lp | Assisted Living Facility | 3630 Hickory Rd, Mishawaka, IN 46545 | 2018-06-14 |
| 1760907299 | Timothy John Howard | Emergency Medicine | 610 1/2 N Main Street, Apartment 1, Mishawaka, IN 46545 | 2017-08-05 |
| 1699203612 | Paridhie Vasudevan | Dentist | 6502 Grape Rd Ste 882, Mishawaka, IN 46545 | 2017-06-03 |
| 1780134650 | Ossip Optometry, PC | Optometrist | 5111 N. Main Street, Suite 200, Mishawaka, IN 46545 | 2016-10-04 |
| 1457730038 | Melissa Anne Douthit | Nurse Practitioner | 3665 Park Pl W Ste 300, Mishawaka, IN 46545 | 2015-05-28 |
| 1558759654 | Spine and Joint Associates of Plymouth, Inc | Chiropractor | 229 Red Coach, Suite 106, Mishawaka, IN 46545 | 2014-12-26 |
| 1609264795 | Spine and Joint Associates of Mishawaka, Inc | Chiropractor | 229 Red Coach Trail, Suite 106, Mishawaka, IN 46545 | 2014-12-26 |
| 1508260795 | Maribel Smith | Counselor | 2989 Heritage Ct, Mishawaka, IN 46545 | 2014-10-16 |
| Find all providers in zip 46545 | ||||
| Taxonomy Code | 3336C0002X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Clinic Pharmacy |
| A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174134217 | Dana M Graham | Pharmacy | 6297 W Foster Branch Dr, Pendleton, IN 46064-9214 | 2020-08-12 |
| 1063948206 | Indiana Micro Hospital, LLC | Pharmacy | 9460 E 146th St, Noblesville, IN 46060-4966 | 2017-05-09 |
| 1306210943 | B&b Holdings LLC | Pharmacy | 1326 N Coliseum Blvd, Fort Wayne, IN 46805-5526 | 2015-11-19 |
| 1245474782 | Purdue University | Pharmacy | 625 Harrison St, West Lafayette, IN 47907-2026 | 2009-04-28 |
| 1497995815 | Northshore Health Centers, Inc. | Pharmacy | 2490 Central Ave Ste B, Lake Station, IN 46405-2122 | 2009-02-25 |
| 1427145630 | The Health and Hospital Corporation of Marion County | Pharmacy | 1050 Wishard Boulevard, Indianapolis, IN 46202 | 2006-10-07 |
| 1184736027 | Valparasio Professional Pharmacy, P.C. | Pharmacy | 2101 Roosevelt Rd, Valparaiso, IN 46383-2747 | 2006-08-31 |
| 1235737792 | Mike Obeng | Pharmacy | 5960 Castleway West Dr, Indianapolis, IN 46250-1977 | 2020-10-15 |
| 1326603325 | Healthlinc, Inc | Pharmacy | 1001 Sturdy Rd, Valparaiso, IN 46383-4126 | 2019-05-06 |
| 1750856100 | Hillary Ann Mcnamee | Pharmacy | 1481 W 10th St, Indianapolis, IN 46202-2803 | 2018-10-11 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.