SAINT JOSEPH REGIONAL MEDICAL CENTER SOUTH BEND CAMPUS INC (NPI# 1437369626) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437369626 |
| Entity Type | Organization |
| Organization Name | SAINT JOSEPH REGIONAL MEDICAL CENTER SOUTH BEND CAMPUS INC |
| Other Organization Name | SISTER MAURA BRANNICK HEALTH CENTER |
| Practice Address |
326 Chapin St South Bend IN 46601-2541 |
| Mailing Address |
801 E Lasalle Ave South Bend IN 46617-2814 |
| Practice Telephone | 5742395255 |
| Mailing Telephone | 5742377111 |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2007-07-08 |
| Authorized Official Name | NANCY R HELLYER (CEO) |
| Authorized Official Telephone | 5742377982 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QC1500X |
Clinic/Center Specialization: Community Health |
IN | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Sister Maura Brannick Health Center | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013962984 | Saint Joseph Regional Medical Center South Bend Campus Inc | Rehabilitation Unit | 60205 Bodnar Blvd, Mishawaka, IN 46544-9342 | 2006-05-22 |
| 1508474636 | Saint Joseph Regional Medical Center South Bend Campus Inc | Clinic/Center | 53940 Carmichael Dr, South Bend, IN 46635-1564 | 2020-07-15 |
| Street Address |
326 CHAPIN ST |
| City | SOUTH BEND |
| State | IN |
| Zip Code | 46601-2541 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932316551 | Keith Alan Behr | Pharmacist | 326 Chapin St, South Bend, IN 46601-2541 | 2007-05-16 |
| 1497317952 | Doreen Cynthia Pienkowski | Dental Hygienist | 326 Chapin St, South Bend, IN 46601-2541 | 2019-07-05 |
| 1871158279 | Kelli Gumm | Dental Hygienist | 326 Chapin St, South Bend, IN 46601-2541 | 2019-05-01 |
| 1821299918 | Saint Joseph Regional Medical Center - South Bend Campus, Inc. | Clinic/Center | 326 Chapin St, South Bend, IN 46601-2541 | 2007-05-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447610449 | David Thomas | Hearing Instrument Specialist | 808 S Michigan St., South Bend, IN 46601 | 2016-03-03 |
| 1285072454 | Kevin Francis Cumper | Internal Medicine | 621 Memorial Dr Ste 624, South Bend, IN 46601 | 2013-06-11 |
| 1952605560 | Robert Lusk Bonham | Dentist | 1222 L.w.e., So. Bend, IN 46601 | 2010-12-23 |
| 1649580911 | Daniel Scott Debrule | Psychologist | 211 W. Washington Street, Suite 2311, South Bend, IN 46601 | 2010-10-20 |
| 1528390770 | Luke Alfred White | Internal Medicine | 615 N. Michigan St., Memorial Hospital, C/o Erin Smith, South Bend, IN 46601 | 2010-02-12 |
| 1548497837 | Tmg Home Health Care | Home Health | 108 N Main St #305, South Bend, IN 46601 | 2009-06-15 |
| 1225283039 | Jody L. Hughes | Counselor | 202 S. Michigan Street, Suite 875, South Bend, IN 46601 | 2008-11-20 |
| 1740432574 | Amanda Jayne Quicksall | Social Worker | 611 Lincolnway W, South Bend, IN 46601 | 2008-10-10 |
| 1952565772 | Thomas P Judd | Dentist | 1901 #b Western Avenue, Ihc South Bend, South Bend, IN 46601 | 2008-07-10 |
| 1851590269 | Warren Larry Penrod | Nurse Practitioner | 333 W. Western Ave, South Bend, IN 46601 | 2007-07-16 |
| Find all providers in zip 46601 | ||||
| Taxonomy Code | 261QC1500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Community Health |
| Definition to come... |
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| 1669879664 | Neighborhood Health Clinics, Inc | Clinic/Center | 1721 S Calhoun St, Fort Wayne, IN 46802 | 2014-11-20 |
| 1508262916 | Neighborhood Health Clinics, Inc | Clinic/Center | 3350 E Paulding Rd, Fort Wayne, IN 46816-4513 | 2014-11-12 |
| 1861826257 | Montgomery County Free Clinic, Inc | Clinic/Center | 816 Mill St, Crawfordsville, IN 47933-3443 | 2013-08-21 |
| 1750680963 | Care Now Clinics, LLC | Clinic/Center | 11021 Brave Ct, Indianapolis, IN 46236-8237 | 2011-03-28 |
| 1679891360 | Primary Care Medical Home | Clinic/Center | 1089 3rd Ave Sw, Carmel, IN 46032-7584 | 2010-05-05 |
| 1275660888 | Gregory Neil Larkin | Clinic/Center | 704 N Park Ave, Indianapolis, IN 46202-3431 | 2007-02-28 |
| 1831274737 | Wishard Health Services | Clinic/Center | 1002 W. 10th Street, Indianapolis, IN 46202 | 2006-10-26 |
| 1952332298 | Community Healthnet Inc | Clinic/Center | 1021 West 5th Avenue, Gary, IN 46402-1703 | 2006-07-05 |
| 1316561475 | Center for Healing and Hope | Clinic/Center | 902 S Main St, Goshen, IN 46526-4339 | 2020-06-04 |
| Find all providers with the same taxonomy | ||||
| City | SOUTH BEND |
| Zip Code | 46601 |
Please comment or provide details below to improve the information on SAINT JOSEPH REGIONAL MEDICAL CENTER SOUTH BEND CAMPUS INC.
| 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.