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THE SOUTH BEND CLINIC GRANGER FAMILY MEDICINE
NPI 1235802612
Durable Medical Equipment & Medical Supplies in Granger, IN

Active since July 30, 2021
52500 FIR RD, GRANGER, IN 46530(574) 271-0700 Get Directions Write a Review

NPPES record last updated: March 22, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About The South Bend Clinic Granger Family Medicine NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THE SOUTH BEND CLINIC GRANGER FAMILY MEDICINE (NPI 1235802612) is a healthcare organization registered as a durable medical equipment & medical supplies in Granger, Indiana and active in the NPI registry since July 2021. The organization lists Jennifer Lynn Hiler, Credentialing Coordinator, as its authorized official.

NPPES Registry Identity

NPI1235802612
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameTHE SOUTH BEND CLINIC LLC
Location Address52500 FIR RDGranger, IN 46530-8579
Mailing Address6301 University Commons Ste 230South Bend, IN 46635-1590 · (574) 239-1567 · Fax (574) 239-1458
Phone(574) 271-0700
Organization SubpartNo
Authorized OfficialJennifer Lynn HilerCredentialing Coordinator · (574) 239-1567
Enumeration DateJuly 30, 2021
Last NPPES UpdateMarch 22, 2022
NPPES CertifiedMarch 22, 2022
✔ NPI 1235802612 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
52500 FIR RD, Granger, IN 46530
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Other Names 1

Other NameThe South Bend Clinic Granger Family Medicine

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EMMA KATHERYN DUNFEE DO
Family Medicine
52500 FIR RD
GRANGER, IN 46530
St. Joseph County (574) 271-0700
DR. CHRISTOPHER J QUINN MD
Family Medicine
52500 FIR RD
GRANGER, IN 46530
St. Joseph County (574) 271-0700
MIKAEL DENISE HOWARD
Pediatrics
52500 FIR RD
GRANGER, IN 46530
St. Joseph County (574) 204-7050
SIBIL GILL DO
Pediatrics
52500 FIR RD
GRANGER, IN 46530
St. Joseph County (574) 234-8161
DR. JOSEPH H CERBIN MD
Family Medicine
52500 FIR RD
GRANGER, IN 46530
St. Joseph County (574) 271-0700
EMILY PEAK
Nurse Practitioner (Family)
52500 FIR RD
GRANGER, IN 46530
St. Joseph County (574) 234-8161
DR. JUSTIN REED MD
Family Medicine
52500 FIR RD
GRANGER, IN 46530
St. Joseph County (574) 271-0700
THE SOUTH BEND CLINIC LLC
Pharmacy (Clinic Pharmacy)
52500 FIR RD
GRANGER, IN 46530
St. Joseph County (574) 204-7260

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is The South Bend Clinic LLC's NPI number?

The NPI number for The South Bend Clinic LLC is 1235802612. It was assigned to this organization in the NPPES registry on July 30, 2021. The provider is also known as The South Bend Clinic Granger Family Medicine.

Where is The South Bend Clinic LLC located?

The South Bend Clinic LLC is located at 52500 Fir Rd, Granger, IN 46530. The listed phone number is (574) 271-0700.

What is The South Bend Clinic LLC's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

When was this NPI record last updated?

The NPPES record for The South Bend Clinic LLC was last updated on March 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.