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Memorial Hospital of South Bend

Psychiatric Hospital Unit in South Bend, IN · enumerated 2011 · authorized official Jeffrey Costello, Vp/Cfo.

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

National Provider Identifier

1376841395

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Registry record

Entity type Organization (Type 2)
Legal business name Memorial Hospital of South Bend
Other name <Unavail>
Practice address 420 N Niles Ave, South Bend, IN, 46617
Phone (574) 647-8400
Fax (574) 647-8410
Enumeration date Mar 1, 2011
Last updated in NPPES Feb 21, 2022

Taxonomy & classification

273R00000X Psychiatric Hospital Unit Hospital Units · License 005053 (IN) Primary

Authorized official

Name Jeffrey Costello
Title Vp/Cfo
Phone (574) 647-3549

Other identifiers

Identifier Type State Issuer
100269890B 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

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2022-02-21. Verify at npiregistry.cms.hhs.gov.
Where is Memorial Hospital of South Bend located?
The practice location on file with NPPES is in South Bend, IN.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-02-21.