Organization
THE SOUTH BEND CLINIC LLC
Active
Other names
Allied Bone and Joint
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER LYNN HILER (CREDENTIALING COORDINATOR)
(574) 239-1567
Entity
Organization
Contact information
Practice address
6301 UNIVERSITY COMMONS, SOUTH BEND, IN 46635-1571
(574) 247-4667
(574) 271-4458
Mailing address
211 N EDDY ST, SOUTH BEND, IN 46617-3096
(574) 239-1567
(574) 239-1458
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
08/13/2020
Last updated
11/03/2022
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