THE SOUTH BEND CLINIC LLC
THE SOUTH BEND CLINIC LLC is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1073680419, based in South Bend, IN. The organization lists 4 taxonomy classifications, with Clinic/Center recorded as primary.
Getting there
The practice address on file is 211 N EDDY ST, South Bend, IN 46617. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 15D0357414 | IN | Clinical Medical Laboratory |
This provider holds licence 15D0357414 issued in IN. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Part B Supplier - Clinic/group Practice
- PAC ID
- 3779577937
Medicare enrolment is recorded as approved under the provider type Part B Supplier - Clinic/group Practice. This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Clinic/Center covers
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). NUCC Health Care Provider Taxonomy, code 261Q00000X
All registered taxonomy codes
This provider registers 4 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | — | — | primary |
| 261QA1903X | Ambulatory Surgical Clinic/Center Ambulatory Surgical | — | IN | |
| 291U00000X | Clinical Medical Laboratory | 15D0357414 | IN | |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | — |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1073680419 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Nov 29, 2006 |
| Last updated | Jul 10, 2024 |
| Status | Active |
| Practice address |
211 N EDDY ST South Bend, IN 46617 (574) 299-2450 Fax (574) 299-2415 |
| Mailing address |
6301 UNIVERSITY COMMONS STE 230 South Bend, IN 46635 |
| Other identifiers |
100442630
(IN) |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 0 | 7 | 3 | 6 | 8 | 0 | 4 | 1 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 0 | 5 | 3 | 3 | 8 | 0 | 4 | 2 |
Sum = 51 · next multiple of 10 = 60 · check digit = 9 · actual last digit = 9
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.