Organization
NORTHERN INDIANA MATERNAL AND CHILD HEALTH NETWORK, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MELINDA M KONRATH BSN, RN (EXECUTIVE DIRECTOR)
(574) 282-3230
Entity
Organization
Contact information
Practice address
244 S OLIVE ST, SUITE E, SOUTH BEND, IN 46619-2106
(574) 282-3230
(574) 282-3240
Mailing address
244 S OLIVE ST, SUITE E, SOUTH BEND, IN 46619-2106
(574) 282-3230
(574) 282-3240
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
200817480A
IN
261QA0005X
Ambulatory Family Planning Facility
Primary
200817480B
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200817480A
—
IN
05
—
200817480B
—
IN
Enumeration date
10/02/2006
Last updated
06/10/2013
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