The South Bend Clinic Llc
Clinic/center
211 N Eddy St, South Bend
Indiana, 46617-2808
574-299-2450 574-299-2415
The South Bend Clinic Llc is a Clinic/center in South Bend, Indiana. It is located at 211 N Eddy St, South Bend and it's customer support contact number is 574-299-2450. The authorized person of The South Bend Clinic Llc is Mr. Paul J Meyer who is Executive Director of this DME and his contact number is 574-237-9201. The South Bend Clinic Llc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
The South Bend Clinic Llc is a facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
DME Supplier Details:
The South Bend Clinic Llc type, location, contact phone number and fax are as below. Patients can directly walkin or can call on the below given customer support phone number for enquiries.
| Name: | The South Bend Clinic Llc |
| Type: | Clinic/center |
| Location: | 211 N Eddy St, South Bend,
Indiana, 46617-2808 |
| Phone: | 574-299-2450 |
| Fax: | 574-299-2415 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this supplier is as below. Person's position and contact details are also mentioned below.
| Name: | Mr. Paul J Meyer |
| Position: | Executive Director |
| Contact Number: | 574-237-9201 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given supplier are as mentioned below.
| NPI Number: | 1073680419 |
| NPI Enumeration Date: | 29 Nov, 2006 |
| NPI Last Update On: | 10 Jul, 2024 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for The South Bend Clinic Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Clinic/center | | | Primary | |
| Ambulatory Surgical | | Indiana | Secondary | |
| Clinical Medical Laboratory | 15D0357414 | Indiana | Secondary | |
| Durable Medical Equipment & Medical Supplies | | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of this supplier such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 100442630 | Medicaid | Indiana | |
Medicare Enrollment:
The South Bend Clinic Llc is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 3779577937 | O20040412000439 | The South Bend Clinic Llc | PART B SUPPLIER - CLINIC/GROUP PRACTICE |
| 3779577937 | O20070720000001 | The South Bend Clinic Llc | PART B SUPPLIER - AMBULATORY SURGICAL CENTER |
| 3779577937 | O20071025000007 | The South Bend Clinic Llc | PART B SUPPLIER - CLINIC/GROUP PRACTICE |
| 3779577937 | O20100930013481 | The South Bend Clinic Llc | DME SUPPLIER - MULTI-SPECIALTY - PHYSICIAN |
| 3779577937 | O20110624000518 | The South Bend Clinic Llc | PART B SUPPLIER - INDEPENDENT CLINICAL LABORATORY |
Products Available:
The South Bend Clinic Llc has following products available for sale under medicare.
| Products: |
|---|
| • Blood Glucose Monitors & Supplies: Mail Order | • Blood Glucose Monitors & Supplies: Non-mail Order |
| • Canes & Crutches | • Cochlear Implants |
| • Gastric Suction Pumps | • Heat & Cold Applications |
| • Infusion Pumps & Supplies: External Infusion | • Infusion Pumps & Supplies: Implanted Infusion |
| • Infusion Pumps & Supplies: Insulin Infusion | • Nebulizer Equipment & Supplies |
| • Orthoses: Custom Fabricated | • Orthoses: Prefabricated |
| • Prosthetic Lenses: Conventional Contact Lenses | • Prosthetic Lenses: Conventional Eyeglasses |
| • Prosthetic Lenses: Prosthetic Cataract Lenses | • Surgical Dressings |
| • Ultraviolet Light Devices | • Urological Supplies |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 6301 University Commons Ste 230,
South Bend, Indiana |
| Zip: | 46635-1590 |
| Phone Number: | 574-251-2115 |
| Fax Number: | 574-251-2150 |
Patients can reach The South Bend Clinic Llc at
211 N Eddy St, South Bend, Indiana or can
call on customer care at 574-299-2450.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.