| Interbeing, Llc | |
|
211 W Washington St Suite 1910 South Bend IN 46601-1711 | |
| (574) 232-1405 | |
| Not Available |
| Full Name | Interbeing, Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 211 W Washington St, South Bend, Indiana |
| Authorized Official Name and Position | Don Gentner (PARTNER/DIRECTOR) |
| Authorized Official Contact | 5742321405 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Interbeing, Llc 211 W Washington St Suite 1910 South Bend IN 46601-1711 Ph: (574) 232-1405 | Interbeing, Llc 211 W Washington St Suite 1910 South Bend IN 46601-1711 Ph: (574) 232-1405 |
| NPI Number | 1902042484 |
|---|---|
| Provider Enumeration Date | 01/05/2009 |
| Last Update Date | 03/03/2009 |
| Medicare PECOS PAC ID | 4981769981 |
|---|---|
| Medicare Enrollment ID | O20090206000367 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902042484 | NPI | - | NPPES |
| 200924700 A | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 34002568A (Indiana) | Primary |
| Provider Name | Donald S Gentner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366492829 PECOS PAC ID: 3072505262 Enrollment ID: I20040514000563 |
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