Memorial Hospital of South Bend, Inc
NPI 1134534456 · Physician Assistant · South Bend, IN
Memorial Hospital of South Bend, Inc is a Physician Assistant organization in South Bend, IN (NPI 1134534456).
Provider details
- NPI number
- 1134534456
- Entity type
- Organization
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Jeffery Costello, Vp/Cfo(574) 647-3549
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
- General Acute Care Hospital282N00000X
Hospitals
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2014-06-25
- Last updated
- 2014-09-09
Frequently asked questions
- What is Memorial Hospital of South Bend, Inc's NPI number?
- Memorial Hospital of South Bend, Inc's National Provider Identifier (NPI) is 1134534456, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Memorial Hospital of South Bend, Inc?
- Memorial Hospital of South Bend, Inc is classified in the NPPES registry as Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Memorial Hospital of South Bend, Inc located?
- Memorial Hospital of South Bend, Inc's practice location on file with NPPES is 403 E Madison St, South Bend, IN 46617-2322.
- What is Memorial Hospital of South Bend, Inc's phone number?
- The practice phone number listed in the NPPES registry for Memorial Hospital of South Bend, Inc is (574) 647-8400.
- Who is the authorized official for Memorial Hospital of South Bend, Inc?
- The authorized official listed on Memorial Hospital of South Bend, Inc's NPPES record is Jeffery Costello, Vp/Cfo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Memorial Hospital of South Bend, Inc's NPI active?
- Yes — Memorial Hospital of South Bend, Inc's NPI (1134534456) is active in the NPPES registry as of the last update on 2014-09-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.