Beacon Hc Pharm Sb

LBN: Beacon Health Ventures, Inc
Beacon Hc Pharm Sb is an health care organization with primary practice located at 3355 Douglas Rd , South Bend IN 46635. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Compounding Pharmacy, Suppliers / Home Infusion Therapy Pharmacy. Suppliers / Home Infusion Therapy Pharmacy is the primary health care specialty. Beacon Health Ventures, Inc can be contacted via phone (574) 647-2273, or through Conrad, Greg via phone (574) 647-8777.

Contact Information

Primary practice address
3355 Douglas Rd South Bend IN 46635
Phone: (574) 647-2273
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Conrad, Greg
Phone: (574) 647-8777

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Compounding Pharmacy 3336C0004X Indiana
Suppliers / Home Infusion Therapy Pharmacy 3336H0001X 60004143A Indiana

Profile Details

NPI number 1699102046
LBN Legal business name Beacon Health Ventures, Inc
DBA Doing business as Beacon Hc Pharm Sb
Authorized official Conrad, Greg
Entity Organization
Organization subpart 1 No
Enumeration date Oct 1st, 2013
Last updated Jun 17th, 2016 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699102046 NPPES
Other 000000097412 ANTHEM
MEDICAID 100301140A ANTHEM

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