THE SOUTH BEND CLINIC PORTAGE
NPI 1891468278
Durable Medical Equipment & Medical Supplies in South Bend, IN

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

The NPI number for The South Bend Clinic LLC is 1891468278. It was assigned to this organization in the NPPES registry on July 30, 2021. The provider is also known as The South Bend Clinic Portage.

Q: 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.

Active since July 30, 2021

4440 PORTAGE AVE, SOUTH BEND, IN 46628(574) 204-6200 Get Directions Write a Review

NPPES record last updated: March 22, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About The South Bend Clinic Portage NPPES

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

THE SOUTH BEND CLINIC PORTAGE (NPI 1891468278) is a healthcare organization registered as a durable medical equipment & medical supplies in South Bend, 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

NPI1891468278

Entity TypeOrganization

Primary Taxonomy332B00000X

Legal Business NameTHE SOUTH BEND CLINIC LLC

Location Address4440 PORTAGE AVESouth Bend, IN 46628-9570

Mailing Address6301 University Commons Ste 230South Bend, IN 46635-1590 · (157) 423-9156 · Fax (574) 239-1458

Phone(574) 204-6200

Organization SubpartNo

Authorized OfficialJennifer Lynn HilerCredentialing Coordinator · (574) 239-1567

Enumeration DateJuly 30, 2021

Last NPPES UpdateMarch 22, 2022

NPPES CertifiedMarch 22, 2022

✔ NPI 1891468278 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.

4440 PORTAGE AVE, South Bend, IN 46628

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Other Names 1

Other NameThe South Bend Clinic Portage

Other Providers at the Same Location NPPES 3

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

THOMAS LARSEN MD

Family Medicine

4440 PORTAGE AVE
SOUTH BEND, IN 46628

St. Joseph County (574) 204-6200

MR. ROBERT CASSADY M.D.

Family Medicine

4440 PORTAGE AVE
SOUTH BEND, IN 46628

St. Joseph County (574) 204-6200

DR. JONATHAN EDWARDS DITTY M.D.

Family Medicine

4440 PORTAGE AVE
SOUTH BEND, IN 46628

St. Joseph County (574) 204-6200

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 1891468278. It was assigned to this organization in the NPPES registry on July 30, 2021. The provider is also known as The South Bend Clinic Portage.

Where is The South Bend Clinic LLC located?

The South Bend Clinic LLC is located at 4440 Portage Ave, South Bend, IN 46628. The listed phone number is (574) 204-6200.

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.