Organization
MEMORIAL HOSPITAL OF SOUTH BEND - TEAM PHARMACY
Active
Organization
MEMORIAL HOSPITAL OF SOUTH BEND - TEAM PHARMACY
Active
Parent organization
MEMORIAL HOSPITAL OF SOUTH BEND, INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
MEMORIAL HOSPITAL OF SOUTH BEND, INC
Authorized official
JEFFREY P COSTELLO (CFO)
(574) 647-3460
Entity
Organization
Contact information
Practice address
100 NAVARRE PL STE 1150, SOUTH BEND, IN 46601-1156
(574) 647-3534
(574) 647-6767
Mailing address
100 NAVARRE PL STE 1150, SOUTH BEND, IN 46601-1156
(574) 647-3534
(574) 647-6767
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300029964
—
IN
Enumeration date
05/30/2019
Last updated
02/12/2025
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up