Organization
COMMUNITY HEALTH PARTNERS OF SOUTH BEND, INC.
Active
Other names
Bendix Family Physicians
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JOSEPHINE M. IDEN BA, AS, CMA (EXECUTIVE DIRECTOR)
(574) 245-4980
Entity
Organization
Contact information
Practice address
1010 N BENDIX DR, SOUTH BEND, IN 46628-1925
(574) 245-4980
(574) 245-4981
Mailing address
PO BOX 3998, SOUTH BEND, IN 46619-0998
(574) 245-4980
(574) 245-4981
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200949510A
—
IN
Enumeration date
02/16/2009
Last updated
09/22/2009
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