BEACON GRANGER HOSPITAL, A MEMORIAL HOSPITAL EXTENSION
NPI 1881177756
General Acute Care Hospital in Granger, IN

Q: What is Memorial Hospital Of South Bend's NPI number?

The NPI number for Memorial Hospital Of South Bend is 1881177756. It was assigned to this organization in the NPPES registry on September 7, 2018. The provider is doing business as Beacon Granger Hospital, A Memorial Hospital Extension.

Q: 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.

Active since September 07, 2018CLIA 15D2166315 · Accreditation

3220 BEACON PARKWAY, GRANGER, IN 46530(574) 999-8788(574) 999-8781 Get Directions Write a Review

NPPES record last updated: December 1, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Dec 1, 2022, Sep 10, 2019, Aug 7, 2019 and 1 more (4 updates tracked since 2018).

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About Beacon Granger Hospital, A Memorial Hospital Extension NPPES

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

BEACON GRANGER HOSPITAL, A MEMORIAL HOSPITAL EXTENSION (NPI 1881177756) is a healthcare organization registered as a general acute care hospital in Granger, Indiana and active in the NPI registry since September 2018. The organization holds an CLIA Accreditation certificate valid through March 31, 2028 and lists Jeffrey Peter Costello, Cfo, as its authorized official.

NPPES Registry Identity

NPI1881177756

Entity TypeOrganization

Primary Taxonomy282N00000X

Legal Business NameMEMORIAL HOSPITAL OF SOUTH BEND

Location Address3220 BEACON PARKWAYGranger, IN 46530

Mailing Address615 N Michigan StSouth Bend, IN 46601-1033 · (574) 647-1000

Phone(574) 999-8788

Fax(574) 999-8781

Organization SubpartNo

Authorized OfficialJeffrey Peter CostelloCfo · (574) 647-3460

Enumeration DateSeptember 7, 2018

Last NPPES UpdateDecember 1, 20224 updates tracked since enumeration

NPPES CertifiedDecember 1, 2022

✔ NPI 1881177756 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral Acute Care HospitalHospitals

Taxonomy Code282N00000X

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.

3220 BEACON PARKWAY, Granger, IN 46530

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Other Names 1

Doing Business AsBeacon Granger Hospital, A Memorial Hospital Extension

Other Identifiers 2

Medicaid300031565IN

Medicaid300032573IN

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 ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 15D2166315

Beacon Granger Hospital · Granger, IN

Active · expires Mar 31, 2028

CLIA Number15D2166315

Laboratory TypeHospital

Certificate Effective DateApril 1, 2026

Certificate Expiration DateMarch 31, 2028

Laboratory DirectorDr. James J. Dyer

Laboratory Phone(574) 999-8812

Laboratory LocationBeacon Granger Hospital3220 Beacon Parkway, Granger, IN 46530

CLIA data matches this NPI record on: Address Name

This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

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 1881177756. It was assigned to this organization in the NPPES registry on September 7, 2018. The provider is doing business as Beacon Granger Hospital, A Memorial Hospital Extension.

Where is Memorial Hospital Of South Bend located?

Memorial Hospital Of South Bend is located at 3220 Beacon Parkway, Granger, IN 46530. The listed phone number is (574) 999-8788.

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.

Does Memorial Hospital Of South Bend hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 15D2166315) is associated with this NPI, valid through March 31, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

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 CareSource 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 December 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.