1. Home
  2. Directory
  3. Indiana
  4. South Bend
  5. Voluntary Or Charitable
  6. NPI Profile

CLUBHOUSE OF SAINT JOSEPH COUNTY
NPI 1649723628
Voluntary or Charitable in South Bend, IN

Active since July 26, 2016
1216 WAYNE ST N, SOUTH BEND, IN 46615(574) 360-8409(574) 966-1443 Get Directions Write a Review

NPPES record last updated: July 26, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Clubhouse Of Saint Joseph County NPPES

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

CLUBHOUSE OF SAINT JOSEPH COUNTY (NPI 1649723628) is a healthcare organization registered as a voluntary or charitable in South Bend, Indiana and active in the NPI registry since July 2016. The organization lists Mark Dale Buchanan, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1649723628
Entity TypeOrganization
Primary Taxonomy251V00000X
Legal Business NameCLUBHOUSE OF SAINT JOSEPH COUNTY
Location Address1216 WAYNE ST NSouth Bend, IN 46615-1036
Mailing Address525 Ostemo PlSouth Bend, IN 46617-1023 · (574) 360-8409 · Fax (574) 966-1443
Phone(574) 360-8409
Fax(574) 966-1443
Organization SubpartNo
Authorized OfficialMark Dale BuchananExecutive Director · (574) 360-8409
Enumeration DateJuly 26, 2016
✔ NPI 1649723628 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyVoluntary or CharitableAgencies
Taxonomy Code251V00000X
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X
1216 WAYNE ST N, South Bend, IN 46615
Open in Google Maps ↗

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 Clubhouse Of Saint Joseph County's NPI number?

The NPI number for Clubhouse Of Saint Joseph County is 1649723628. It was assigned to this organization in the NPPES registry on July 26, 2016.

Where is Clubhouse Of Saint Joseph County located?

Clubhouse Of Saint Joseph County is located at 1216 Wayne St N, South Bend, IN 46615. The listed phone number is (574) 360-8409.

What is Clubhouse Of Saint Joseph County's specialty?

The primary specialty registered for this NPI is Voluntary or Charitable with taxonomy code 251V00000X.

When was this NPI record last updated?

The NPPES record for Clubhouse Of Saint Joseph County was last updated on July 26, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.