Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Indiana University South Bend Health & Wellness Center

Organization Licensed Practical Nurse · NPI 1952721185

Indiana University South Bend Health & Wellness Center is a Licensed Practical Nurse in South Bend, Indiana. Licensed in Indiana. Registered with an NPI since 2014.

Licensed in
IN
In the registry since
2014
Specialties on file
4

Practice location Address checks out

941 20th St
South Bend, IN 46634-7111
Phone: (574) 520-5557
Fax: (574) 520-5042
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 01046709 (IN)
Licensed Practical Nurse Taxonomy 164W00000X · Licence 28076706A (IN)
Licensed Practical Nurse Taxonomy 164W00000X · Licence 28156667A (IN)
Health Maintenance Organization Taxonomy 302R00000X

Record details

NPI number1952721185
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mario Ortiz — Dean And Professor · (574) 520-5557
NPI enumeratedApril 28, 2014
Last updated in NPPESApril 28, 2014
Mailing address941 20th Street, South Bend, IN 46634-7111

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