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The South Bend Clinic LLC

Clinic Pharmacy in Granger, IN · enumerated 2019 · authorized official Andrea Krupa, Exec Directory of Pharmacy.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1174187553

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Registry record

Entity type Organization (Type 2)
Legal business name The South Bend Clinic LLC
Other name <Unavail>
Practice address 52500 Fir Rd, Granger, IN, 46530
Phone (574) 204-7260
Enumeration date May 1, 2019
Last updated in NPPES Nov 26, 2024

Taxonomy & classification

3336C0002X Clinic Pharmacy Suppliers Primary

Authorized official

Name Andrea Krupa
Title Exec Directory of Pharmacy
Phone (574) 239-1461

Other identifiers

Identifier Type State Issuer
100300930 Medicaid IN -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What type of organization is The South Bend Clinic LLC?
The South Bend Clinic LLC is registered in NPPES as a Clinic Pharmacy (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-11-26.