Memorial Hospital Of South Bend, NPI 1376841395
Psychiatric Hospital Unit in South Bend, IN, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1376841395
NPI Entity Type Organization
Provider Name Memorial Hospital Of South Bend
Doing Business As
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Certification Date September 30, 2009
Provider Location Address 420 N Niles Ave, South Bend, IN, US
Provider Mailing Address 615 N Michigan St, South Bend, IN, US, 466011033
Gender Male
Is Sole Proprietor? No
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Organization Official

Official Name MR. Jeffrey P Costello
Official Position VP/CFO
Phone 574-647-3549

Primary Taxonomy

Taxonomy Code

273R00000X

Taxonomy Name Psychiatric Hospital Unit
Classification

Psychiatric Unit

Group

Hospital Units

License No. 005053
License State IN
Description In general, a distinct unit of a hospital that provides acute or long-term care to emotionally disturbed patients, including patients admitted for diagnosis and those admitted for treatment of psychiatric problems on the basis of physicians' orders and approved nursing care plans. Long-term care may include intensive supervision to the chronically mentally ill, mentally disordered or other mentally incompetent persons; (2) For Medicare, a distinct part of a general acute care hospital admitting only patients whose admission to the unit is required for active treatment, whose treatment is of an intensity that can be provided only in an inpatient hospital setting, and whose condition is described by a psychiatric principal diagnosis contained in the Third Edition of the American Psychiatric Association Diagnostic and Statistical Manual or in Chapter 5 (Mental Disorders) of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM). The unit must furnish, through the use of qualified personnel, psychological services, social work services, psychiatric nursing, occupational therapy, and recreational therapy. The unit must maintain medical records that permit determination of the degree and intensity of treatment provided to individuals who are furnished services in the unit; the unit must meet special staff requirements in that the unit must have adequate numbers of qualified professional and supportive staff to evaluate inpatients, formulate written, individualized, comprehensive treatment plans, provide active treatment measures and engage in discharge planning.

Other Organization Name

Memorial Epworth Center
Doing Business As

Business Address

Memorial Hospital Of South Bend
420 N Niles Ave

South Bend, IN, US

Phone: 574-647-8400
Fax: 574-647-8410

Mailing Address

Memorial Hospital Of South Bend
615 N Michigan St
South Bend, IN, US
ZIP 466011033
Phone: 574-647-7167

Other Providers in IN, US

NPI Name Taxonomy Address

1528516226

Nicole M Blauvelt

Individual

Nurse Practitioner

11109 Parkview Plaza Dr

Fort Wayne, IN

1942597141

PA-C Kristin E Pletcher

Individual

Physician Assistant

3909 New Vision Dr

Fort Wayne, IN

1184686743

DR. MD David J Wittbrodt

Individual

Orthopaedic Surgery Physician

1169 N Main St Ste 7

Bluffton, IN

1366604480

D.O. Ellen Szwed

Individual

Hematology & Oncology Physician

11050 Parkview Circle Dr

Fort Wayne, IN

1952025025

MS. Andrea Jo Lynne Adams

Individual

Mental Health Counselor

4444 Jamestown Ct Apt F

Indianapolis, IN

1285098400

Melissa Lucio

Individual

Family Nurse Practitioner

3512 Stellhorn Rd

Fort Wayne, IN

1588016174

FNP-C Colleen Conwell

Individual

Family Nurse Practitioner

3909 New Vision Dr

Fort Wayne, IN

1326030297

MD David E Schleinkofer

Individual

Cardiovascular Disease Physician

11108 Parkview Circle Dr

Fort Wayne, IN

1033561139

Nicole Heller

Individual

Nurse Practitioner

11104 Parkview Circle Dr Ste 20

Fort Wayne, IN

1114189305

DR. M.D., Ahmed Zakria Youssef Elmaadawi

Individual

Psychiatry Physician

707 N Michigan St Ste 400

South Bend, IN

1013307131

Kara Yackee

Individual

Nurse Practitioner

3909 New Vision Dr

Fort Wayne, IN

1275608929

DR. MD Steven W Cohen

Individual

Gastroenterology Physician

11104 Parkview Circle Dr Ste 310

Fort Wayne, IN

1689833279

MD Julie A Tillman

Individual

Obstetrics & Gynecology Physician

11123 Parkview Plaza Dr

Suite 101

Fort Wayne, IN

1790857423

DR. M.D. Rebecca E Minser

Individual

Internal Medicine Physician

1234 E Dupont Rd Ste 3

Fort Wayne, IN

1427400886

Jennifer Vanzant

Individual

Nurse Practitioner

2200 Randallia Dr

Fort Wayne, IN

1083820286

DR. M.D. Dona M Uncheselu

Individual

Hospice and Palliative Medicine (Family Medicine) Physician

11109 Parkview Plaza Dr

Fort Wayne, IN

1033367123

MD Amy K Sadler

Individual

Family Medicine Physician

1270 E S.r. 205, Suite 240

Columbia City, IN

1629070032

MD Kevin K Hart

Individual

Cardiovascular Disease Physician

11108 Parkview Circle Dr

Fort Wayne, IN

1245687284

MD Megan C. Lemon

Individual

Family Medicine Physician

11055 Twin Creeks Cv

Fort Wayne, IN

1922582188

Kelcie Marie Small

Individual

Developmental Therapist

6437 Rucker Rd Ste D

Indianapolis, IN

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