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ADAMS COUNTY MEMORIAL HOSPITAL

Assisted Living Facility

South Bend, Indiana

Provider NPI: 1609869064

Organization Information:
Organization Name:  ADAMS COUNTY MEMORIAL HOSPITAL


Practice Location:
3602 S IRONWOOD DR  SOUTH BEND, IN 46614 US
Tel: 574-299-2250  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N310400000XNursing & Custodial Care Facilities
Assisted Living Facility
IN060001041
Y314000000XNursing & Custodial Care Facilities
Skilled Nursing Facility
IN060001041

Other Provider Identifiers:

IssuerNumberStateType
100266590AIN05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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