Organization
SOUTH BEND MEDICAL FOUNDATION, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERRY PIPP (CFO)
(574) 234-7176
Entity
Organization
Contact information
Practice address
3355 DOUGLAS RD, SOUTH BEND, IN 46635-1779
(574) 234-4176
Mailing address
5700 SOUTHWYCK BLVD, TOLEDO, OH 43614-1509
(800) 288-8325
(419) 866-5453
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
291U00000X
Clinical Medical Laboratory
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000097080
ANTHEM
—
05
—
100112700A
—
IN
05
—
169513624
—
MI
01
—
1H1003494
TRICARE
—
01
—
690164004
RAILROAD MEDICARE
—
01
—
CB4553
RAILROAD MEDICARE
—
Enumeration date
02/01/2006
Last updated
08/28/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us