Organization
NORTHERN INDIANA MCH NETWORK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELINDA KONRATH (EXECUTIVE DIRECTOR)
(574) 282-3230
Entity
Organization
Contact information
Practice address
244 S OLIVE ST, SOUTH BEND, IN 46619-2100
(574) 282-3230
Mailing address
244 S OLIVE ST, SOUTH BEND, IN 46619-2100
Taxonomy
Speciality
Code
Description
License number
State
261QA0005X
Ambulatory Family Planning Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200817480
—
IN
Enumeration date
03/11/2015
Last updated
03/11/2015
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