CLUBHOUSE OF SAINT JOSEPH COUNTY; NPI #1649723628

Contact Information

CLUBHOUSE OF SAINT JOSEPH COUNTY

1216 WAYNE ST N
SOUTH BEND, IN 46615-1036

Phone: 574-360-8409
Fax: 574-966-1443
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Voluntary or Charitable	251V00000X	61	Voluntary Health or Charitable Agency[1]
Community/Behavioral Health	251S00000X

Indicates primary specialty

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NPI Profile & details for CLUBHOUSE OF SAINT JOSEPH COUNTY

NPI Number	`1649723628`
LBN Legal business name	CLUBHOUSE OF SAINT JOSEPH COUNTY
Authorized official	MARK BUCHANAN - (EXECUTIVE DIRECTOR)
Entity	Organization
Organization subpart ¹	No
Enumeration date	07/26/2016
Last updated	07/26/2016 - About 10 years ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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CLUBHOUSE OF SAINT JOSEPH COUNTY

Contact Information

Specialty

Voluntary or Charitable

Community/Behavioral Health

NPI Profile & details for CLUBHOUSE OF SAINT JOSEPH COUNTY

Reviews for CLUBHOUSE OF SAINT JOSEPH COUNTY