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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MEMORIAL HOSPITAL OF SOUTH BEND
NPI 1295772093
General Acute Care Hospital in South Bend, IN

Active since June 01, 2006
615 N MICHIGAN ST, SOUTH BEND, IN 46601(574) 647-1000 Get Directions Write a Review

NPPES record last updated: July 14, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 14, 2026, Nov 15, 2024, May 10, 2023 and 3 more (6 updates tracked since 2019).

About Memorial Hospital Of South Bend NPPES

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

MEMORIAL HOSPITAL OF SOUTH BEND (NPI 1295772093) is a healthcare organization registered as a general acute care hospital in South Bend, Indiana and active in the NPI registry since June 2006. The organization maintains a secondary practice location in South Bend and lists Jeffrey Costello, Cfo, as its authorized official.

NPPES Registry Identity

NPI1295772093
Entity TypeOrganization
Primary Taxonomy282N00000X
Legal Business NameMEMORIAL HOSPITAL OF SOUTH BEND
Location Address615 N MICHIGAN STSouth Bend, IN 46601-1033
Mailing Address615 N Michigan StSouth Bend, IN 46601-1087
Phone(574) 647-1000
Organization SubpartNo
Authorized OfficialJeffrey CostelloCfo · (574) 647-3460
Enumeration DateJune 1, 2006
Last NPPES UpdateJuly 14, 20266 updates tracked since enumeration
NPPES CertifiedJuly 14, 2026
✔ NPI 1295772093 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 14

★ Primary SpecialtyGeneral Acute Care HospitalHospitals
Taxonomy Code282N00000X
License✔ Licensed in IN · 06-005053
Definition
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.
Also ListedEmergency MedicineTaxonomy 207P00000X · License 005053 (IN)
Also ListedInternal Medicine · HematologyTaxonomy 207RH0000X
Also ListedInternal Medicine · Medical OncologyTaxonomy 207RX0202X
Also ListedObstetrics & Gynecology · Gynecologic OncologyTaxonomy 207VX0201X
Also ListedRadiology · Radiation OncologyTaxonomy 2085R0001X
Also ListedOccupational TherapistTaxonomy 225X00000X · License 005053 (IN)
Also ListedClinic/Center · Community HealthTaxonomy 261QC1500X · License 005053 (IN)
Also ListedPsychiatric UnitTaxonomy 273R00000X
Also ListedRehabilitation UnitTaxonomy 273Y00000X · License 06-005053 (IN)
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X · License 005053 (IN)
Also ListedAmbulanceTaxonomy 341600000X
Also ListedAmbulance · Air TransportTaxonomy 3416A0800X · License 005053 (IN)
Also ListedPhysician AssistantTaxonomy 363A00000X
615 N MICHIGAN ST, South Bend, IN 46601
Open in Google Maps ↗

Secondary Practice Location 1

Location 1420 N Niles AveSouth Bend, IN 46617-1918 · Phone (574) 647-8400

Other Identifiers 7

Medicaid100239890AIN
Medicaid200378380AIN
Medicaid100269890BIN
Medicaid200713710AIN
Medicaid100269910AIN
Medicaid200318490AIN
Medicaid300133206IN

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

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.

AARON MICHAEL MOJICA CRNA
Nurse Anesthetist, Certified Registered
615 N MICHIGAN ST
SOUTH BEND, IN 46601
St. Joseph County (574) 612-2476
RACHEL ANN JENNINGS NP
Nurse Practitioner
615 N MICHIGAN ST
SOUTH BEND, IN 46601
St. Joseph County (574) 647-1000
DR. GEVORG MARTIROSYAN PHARMD
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
615 N MICHIGAN ST
SOUTH BEND, IN 46601
St. Joseph County (574) 647-3119
BRANDON WELLER MD
Ophthalmology
615 N MICHIGAN ST
SOUTH BEND, IN 46601
St. Joseph County (574) 647-1000
MELINDA DEUBNER PHARMD
Pharmacist (Critical Care)
615 N MICHIGAN ST
SOUTH BEND, IN 46601
St. Joseph County (574) 647-6302
MELISSA MARIE GLASER RN
Registered Nurse (Case Management)
615 N MICHIGAN ST, MEMORIAL HOSPITAL- COMMUNITY HEALTH ENHANCEMENT
SOUTH BEND, IN 46601
St. Joseph County (574) 647-2173
MRS. NANCY ANN TAGHON RD
Dietitian, Registered
615 N MICHIGAN ST
SOUTH BEND, IN 46601
St. Joseph County (574) 647-6351
DR. NICHOLAS HAROLD KERR DO
Family Medicine (Hospice and Palliative Medicine)
615 N MICHIGAN ST, 1ST FL HOSPITALIST STE
SOUTH BEND, IN 46601
St. Joseph County (574) 647-3050

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 Memorial Hospital Of South Bend's NPI number?

The NPI number for Memorial Hospital Of South Bend is 1295772093. It was assigned to this organization in the NPPES registry on June 1, 2006.

Where is Memorial Hospital Of South Bend located?

Memorial Hospital Of South Bend is located at 615 N Michigan St, South Bend, IN 46601. The listed phone number is (574) 647-1000.

What is Memorial Hospital Of South Bend's specialty?

The primary specialty registered for this NPI is General Acute Care Hospital with taxonomy code 282N00000X.

What insurance does Memorial Hospital Of South Bend accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and Blue Cross and Blue Shield of Kansas City and 2 other insurers list Memorial Hospital Of South Bend as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Memorial Hospital Of South Bend was last updated on July 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 days 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.