Beacon Health Ventures Inc

LBN: Beacon Health Ventures Inc
Beacon Health Ventures Inc is an health care organization with primary practice located at 900 I St , La Porte IN 46350-5533. The organization recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as the primary health care specialty. Beacon Health Ventures Inc can be contacted via phone (219) 324-1775, or through Costello, Jeffery via phone (574) 647-8545.

Contact Information

Primary practice address
900 I St La Porte IN 46350-5533
Phone: (219) 324-1775
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Costello, Jeffery
Phone: (574) 647-8545

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 69000135A Indiana

Profile Details

NPI number 1992876627
LBN Legal business name Beacon Health Ventures Inc
DBA Doing business as
Authorized official Costello, Jeffery
Entity Organization
Organization subpart 1 No
Enumeration date Nov 13th, 2006
Last updated Apr 19th, 2018 - about 8 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 1992876627 NPPES
Indiana Other 000000363708 ANTHEM PROVIDER
Indiana MEDICAID 200253800A ANTHEM PROVIDER

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