| Pediatric Specialty Clinic | |
|
234 Chapin St Ste I (i) South Bend IN 46601-2571 | |
| (574) 335-8250 | |
| Not Available |
| Full Name | Pediatric Specialty Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 234 Chapin St Ste I (i), South Bend, Indiana |
| Authorized Official Name and Position | Robert Sink (VICE PRESIDENT OF FINANCE) |
| Authorized Official Contact | 5743355000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pediatric Specialty Clinic 707 Cedar St Ste 200 Saint Joseph Physician Network-cbo South Bend IN 46617-2057 Ph: (574) 335-8700 | Pediatric Specialty Clinic 234 Chapin St Ste I (i) South Bend IN 46601-2571 Ph: (574) 335-8250 |
| NPI Number | 1396154324 |
|---|---|
| Provider Enumeration Date | 08/04/2014 |
| Last Update Date | 07/11/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396154324 | NPI | - | NPPES |
| 000000894414 | Other | IN | BCBS |
| 100382210D | Medicaid | IN |
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