MEMORIAL HEALTH SYSTEM, INC. (NPI# 1902134521) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902134521 |
| Entity Type | Organization |
| Organization Name | MEMORIAL HEALTH SYSTEM, INC. |
| Other Organization Name | MEMORIAL'S PRENATAL CLINIC @ OLIVE STREET |
| Practice Address |
244 S Olive St Suite E South Bend IN 46619-2100 |
| Mailing Address |
710 N Niles Ave South Bend IN 46617-1924 |
| Practice Telephone | 5746471600 |
| Practice Fax Number | 5742376069 |
| Mailing Telephone | 5746471610 |
| Enumeration Date | 2009-11-19 |
| Last Update Date | 2016-03-09 |
| Authorized Official Name | MR. JEFFREY P. COSTELLO (VP/CFO) |
| Authorized Official Telephone | 5746473549 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367A00000X | Advanced Practice Midwife | 09000186A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| Other Name | Type Code |
|---|---|
| Memorial's Prenatal Clinic @ Olive Street | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346290103 | Memorial Health System, Inc. | Pediatrics | 809 N Michigan St, South Bend, IN 46601-1088 | 2006-05-11 |
| 1013133487 | Memorial Health System, Inc. | Physical Therapist | 900 I St, La Porte, IN 46350-5533 | 2007-04-17 |
| 1073554994 | Memorial Health System, Inc. | Internal Medicine | 621 Memorial Dr, Suite 608, South Bend, IN 46601-1063 | 2006-06-10 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Memorial Health System, Inc. | 1400 East Boulder Street, Colorado Springs, CO 80909 |
| Street Address |
244 S OLIVE ST SUITE E |
| City | SOUTH BEND |
| State | IN |
| Zip Code | 46619-2100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528151602 | Northern Indiana Maternal and Child Health Network, Inc | Public Health or Welfare | 244 S Olive St, Suite E, South Bend, IN 46619-2106 | 2006-10-02 |
| 1972996247 | Northern Indiana Mch Network | Clinic/Center | 244 S Olive St, South Bend, IN 46619-2100 | 2015-03-11 |
| 1083802193 | Melinda Konrath | Registered Nurse | 244 S Olive St, Suite E, South Bend, IN 46619-2100 | 2007-10-15 |
| 1255529368 | Judy Dodd | Licensed Practical Nurse | 244 S Olive St, Suite E, South Bend, IN 46619-2100 | 2007-10-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578015103 | Martin's Super Markets, Inc. | Pharmacy | 525 S. Mayflower Rd, South Bend, IN 46619 | 2016-10-31 |
| 1124449053 | Sandra J Jackson | Counselor | 4218 Western Ave., South Bend, IN 46619 | 2013-12-19 |
| 1902227911 | Patricia Ann Miller | Counselor | 4218 Western Ave, South Bend, IN 46619 | 2013-12-17 |
| 1740611953 | Cynthia G. Finney | Counselor | 4218 Western Avenue, So Bend, IN 46619 | 2013-12-13 |
| 1437433406 | Angela Nicole Zolvinski | Pharmacist | 4444 W. Western Ave, South Bend, IN 46619 | 2011-10-07 |
| 1871674556 | The Health and Hospital Corporation of Marion County | Skilled Nursing Facility | 4600 W Washington St, South Bend, IN 46619 | 2006-10-18 |
| 1942302203 | April Holtgren | Family Medicine | 1901 #b Western Ave, South Bend, IN 46619 | 2006-09-05 |
| 1447737002 | Graciela Jimenez-martinez | Registered Nurse | 1901 #b Western Avenue, South Bend, IN 46619 | 2018-07-25 |
| 1821397878 | Wright Dream | In Home Supportive Care | 706 S Sheridan St, South Bend, IN 46619 | 2011-03-16 |
| 1740439223 | Scott J. Vanslambrouck | Dentist | 1901 #b Western Avenue, Ihc South Bend, South Bend, IN 46619 | 2008-09-09 |
| Find all providers in zip 46619 | ||||
| Taxonomy Code | 367A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Advanced Practice Midwife |
| Midwifery practice as conducted by certified nurse-midwives (CNMs) and certified midwives (CMs) is the independent management of women's health care, focusing particularly on pregnancy, childbirth, the post partum period, care of the newborn, and the family planning and gynecologic needs of women. The CNM and CM practice within a health care system that provides for consultation, collaborative management, or referral, as indicated by the health status of the client. CNMs and CMs practice in accord with the Standards for the Practice of Midwifery, as defined by the American College of Nurse-Midwives (ACNM). |
| Notes: Source: American College of Nurse-Midwives, 2008 [7/1/2008: title changed, defintion changed, source changed] Additional Resources: American College of Nurse-Midwives www.acnm.org. The American Midwifery Certification Board, Inc. [AMCB, formerly the ACNM Certification Council, Inc. (ACC)] opened its national certification exam to non-nurse graduates of midwifery education programs and issued the first certified midwife (CM) credential in 1997. Certified midwives are educated to meet the same high standards that certified nurse-midwives must meet. These are the standards that every state in the U.S. has recognized as the legal basis for nurse-midwifery practice. All education programs for CMs, like CNMs, award a post-baccalaureate certificate or higher degree. CMs take the same AMCB certification exam as CNMs and study side by side with nurse-midwifery students in some education programs. As an organization, ACNM supports efforts to legally recognize CMs as qualified midwifery practitioners granted the same rights and responsibilities as CNMs. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184952848 | Laura Theresa Mabry | Advanced Practice Midwife | 621 Memorial Dr Ste 403, South Bend, IN 46601-1074 | 2009-11-18 |
| 1629273834 | Karen A Decocker | Advanced Practice Midwife | 228 S Notre Dame Ave, South Bend, IN 46617-3037 | 2007-06-18 |
| 1356803134 | Cristina Emch | Advanced Practice Midwife | 621 Memorial Dr Ste 403, South Bend, IN 46601-1074 | 2019-04-02 |
| 1457860801 | Claire Marie Walker | Advanced Practice Midwife | 621 Memorial Dr Ste 403, South Bend, IN 46601-1074 | 2017-09-28 |
| 1932556552 | Midwives Care | Advanced Practice Midwife | 2930 Mckinley Ave, South Bend, IN 46615-2739 | 2016-05-24 |
| 1477977767 | Melissa E Holderread | Advanced Practice Midwife | 621 Memorial Dr Ste 403, South Bend, IN 46601 | 2014-02-07 |
| 1093156481 | Shannon Lee Luczak | Advanced Practice Midwife | 515 N Lafayette Blvd, South Bend, IN 46601-1003 | 2013-07-12 |
| 1972857704 | Susana Diaz | Advanced Practice Midwife | 621 Memorial Dr Ste 403, South Bend, IN 46601-1074 | 2012-10-31 |
| 1578862181 | Beacon Medical Group, Inc. | Advanced Practice Midwife | 621 Memorial Dr Ste 403, Suite 124, South Bend, IN 46601-1074 | 2011-03-22 |
| 1447241179 | Kristin Joy Kile | Advanced Practice Midwife | 621 Memorial Dr, Ste 403, South Bend, IN 46601-1063 | 2005-11-02 |
| Find all providers in SOUTH BEND | ||||
| City | SOUTH BEND |
| Zip Code | 46619 |
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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.