MEMORIAL HOSPITAL OF SOUTH BEND (NPI# 1881177756) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881177756 |
| Entity Type | Organization |
| Organization Name | MEMORIAL HOSPITAL OF SOUTH BEND |
| Other Organization Name | BEACON GRANGER HOSPITAL, A MEMORIAL HOSPITAL EXTENSION |
| Practice Address |
3220 Beacon Parkway Granger IN 46530 |
| Mailing Address |
615 N Michigan St South Bend IN 46601-1033 |
| Practice Telephone | 5749998788 |
| Practice Fax Number | 5749998781 |
| Mailing Telephone | 5746471000 |
| Enumeration Date | 2018-09-07 |
| Last Update Date | 2019-09-10 |
| Authorized Official Name | JEFFREY PETER COSTELLO (CFO) |
| Authorized Official Telephone | 5746473460 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | Hospitals |
| Other Name | Type Code |
|---|---|
| Beacon Granger Hospital | Doing Business As Name - Organization |
| Beacon Granger Hospital, A Memorial Hospital Extension | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376841395 | Memorial Hospital of South Bend | Psychiatric Unit | 420 N Niles Ave, South Bend, IN 46617-1918 | 2011-03-01 |
| 1295772093 | Memorial Hospital of South Bend | Emergency Medicine | 615 N Michigan St, South Bend, IN 46601-1033 | 2006-06-01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | MEMORIAL HOSPITAL OF SOUTH BEND | 615 N Michigan St, South Bend, IN 46601-1033 |
| System for Award Management (SAM) Entities | MEMORIAL HOSPITAL OF SOUTH BEND INC | 615 N Michigan St, South Bend, IN 46601-1033 |
| Street Address |
3220 BEACON PARKWAY |
| City | GRANGER |
| State | IN |
| Zip Code | 46530 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821610783 | Michiana Weight Loss and Wellness Clinic LLC | Internal Medicine | 14304 Sr 23, Granger, IN 46530 | 2020-05-14 |
| 1609427921 | Stephen J Armet | Physical Therapist | 16733 Saratoga Ct, Granger, IN 46530 | 2019-09-27 |
| 1922483635 | Kiley Ramer | Behavioral Analyst | 6910 N Main St Bldg 13c51, Granger, IN 46530 | 2015-07-23 |
| 1326439415 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 625 E University Dr., Granger, IN 46530 | 2015-02-10 |
| 1811302094 | Costco Wholesale Corporation | Pharmacy | 625 E. University Drive, Granger, IN 46530 | 2014-06-25 |
| 1255773255 | Tracy Joyce Abel | Behavioral Analyst | 12042 Covered Wagon Court, Granger, IN 46530 | 2013-07-19 |
| 1225376304 | George Youssef | Internal Medicine | 5610 Town Center Drive #14, Granger, IN 46530 | 2013-01-23 |
| 1033489596 | Rene Raul Arce Guarnaluse | Homeopath | Emilio Bayarri 50, Puzol, VALENCIA 46530 | 2011-12-30 |
| 1568747368 | Ranya Bouzou-kadi | Pharmacist | 13060 Adams, Granger, IN 46530 | 2011-10-13 |
| 1962727305 | Oliver James Davis Jr. | Social Worker | 6910 N Main St Unit 4, Granger, IN 46530 | 2010-03-29 |
| Find all providers in zip 46530 | ||||
| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750924403 | Franciscan Beacon Hospital, LLC | General Acute Care Hospital | 1010 W State Road 2, La Porte, IN 46350-5465 | 2019-10-25 |
| 1174183024 | Northwest Indiana Hospital, LLC | General Acute Care Hospital | 7904 Cabela Dr., Hammond, IN 46324 | 2019-06-13 |
| 1417482092 | Bloomington Hosptial | General Acute Care Hospital | 3630 S Mcdougal St, Bloomington, IN 47403-4675 | 2017-04-20 |
| 1851833230 | St. Vincent Hospital & Health Care Center, Inc. | General Acute Care Hospital | 9613 E Us Highway 36, Avon, IN 46123-7978 | 2016-11-16 |
| 1306291265 | Teal Murphy | General Acute Care Hospital | 10701 S 400 W, Columbus, IN 47201-9339 | 2016-04-28 |
| 1497119242 | Iu Health | General Acute Care Hospital | 5707 Brockton Dr Apt 307, Indianapolis, IN 46220-5481 | 2016-04-07 |
| 1487016549 | Johnson Memorial Hospital | General Acute Care Hospital | 214 Crenshaw Dr, Saint Paul, IN 47272-9435 | 2016-03-27 |
| 1164806444 | Monroe Hosoital | General Acute Care Hospital | 4011 Monroe Medical Park, Bloomington, IN 47403 | 2015-07-16 |
| 1740686443 | Prime Healthcare Services - Monroe LLC | General Acute Care Hospital | 4011 S Monroe Med Park Blvd, Bloomington, IN 47403-8000 | 2014-11-07 |
| 1578971792 | Hendricks County Hospital | General Acute Care Hospital | 5492 N Ronald Reagan Pkwy, Brownsburg, IN 46112-5618 | 2014-07-31 |
| 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.