Memorial Hospital of South Bend, INC
NPI #1134534456 in South Bend, Indiana
Provider Information
- NPI Number
- 1134534456
- Entity Type
- Organization
- Organization Name
- Memorial Hospital of South Bend, INC
- Primary Specialty
- Physician Assistant
- Enumeration Date
- Jun 25, 2014
- Last Updated
- Sep 9, 2014
Practice Location
- Address
- 403 E MADISON ST
- City
- South Bend
- State
- Indiana
- ZIP Code
- 46617-2322
- Phone
- (574) 647-8400
Authorized Official
- Name
- MR. JEFFERY P COSTELLO
- Title
- VP/CFO
- Phone
- (574) 647-3549
Specialties & Taxonomy Codes
| Specialty |
|---|
| General Acute Care Hospital |
| Physician Assistant |
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