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THE SOUTH BEND CLINIC LLP
NPI 1538257167
Clinic/Center in South Bend, IN

Active since October 10, 2006
211 N EDDY ST, SOUTH BEND, IN 46617(574) 246-8816(574) 237-9309 Get Directions Write a Review

NPPES record last updated: January 10, 2020. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About The South Bend Clinic Llp NPPES

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

THE SOUTH BEND CLINIC LLP (NPI 1538257167) is a healthcare organization registered as a clinic/center in South Bend, Indiana and active in the NPI registry since October 2006. The organization lists Kelly E. Macken-marble, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1538257167
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameTHE SOUTH BEND CLINIC LLP
Location Address211 N EDDY STSouth Bend, IN 46617-2808
Mailing AddressPo Box 715223Cincinnati, OH 45271-5223 · (574) 299-2450 · Fax (574) 299-2415
Phone(574) 246-8816
Fax(574) 237-9309
Organization SubpartYesParent: South Bend Clinic
Authorized OfficialKelly E. Macken-marbleExecutive Director · (574) 237-9201
Enumeration DateOctober 10, 2006
Last NPPES UpdateJanuary 10, 2020
✔ NPI 1538257167 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
Also ListedClinic/Center · Multi-SpecialtyTaxonomy 261QM1300X
Also ListedClinic/Center · Urgent CareTaxonomy 261QU0200X
211 N EDDY ST, South Bend, IN 46617
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Other Identifiers 1

Medicaid200266980AIN

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.

AUTUMN MARIE HANNA PA
Physician Assistant
211 N EDDY ST
SOUTH BEND, IN 46617
St. Joseph County (574) 234-8161
DR. STEVEN P. CROWELL MD
Internal Medicine
211 N EDDY ST
SOUTH BEND, IN 46617
St. Joseph County (574) 237-9340
JESSICA A HECKMAN R.D.
Dietitian, Registered
211 N EDDY ST
SOUTH BEND, IN 46617
St. Joseph County (574) 237-9331
LOUIS CAVADINI DO
Family Medicine
211 N EDDY ST
SOUTH BEND, IN 46617
St. Joseph County (574) 237-9395
MS. REGINA R. JASIEWICZ FNP
Nurse Practitioner (Family)
211 N EDDY ST
SOUTH BEND, IN 46617
St. Joseph County (574) 237-9231
DR. ERSALAN A RAHMAN M.D.
Ophthalmology
211 N EDDY ST
SOUTH BEND, IN 46617
St. Joseph County (574) 237-9334
DR. SCOTT H WOLF MD
Radiology (Diagnostic Radiology)
211 N EDDY ST
SOUTH BEND, IN 46617
St. Joseph County (574) 237-9203
GABRIELA L TAYLOR PA
Physician Assistant
211 N EDDY ST
SOUTH BEND, IN 46617
St. Joseph County (574) 237-9294

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 LLP's NPI number?

The NPI number for The South Bend Clinic LLP is 1538257167. It was assigned to this organization in the NPPES registry on October 10, 2006.

Where is The South Bend Clinic LLP located?

The South Bend Clinic LLP is located at 211 N Eddy St, South Bend, IN 46617. The listed phone number is (574) 246-8816.

What is The South Bend Clinic LLP's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for The South Bend Clinic LLP was last updated on January 10, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.