<Unavail>

LBN: Beacon Medical Group, Inc.
<Unavail> is an health care organization with primary practice located at 5314 Lincolnway E , Mishawaka IN 46544-4249. The organization recently has 8 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Women's Health, Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. Beacon Medical Group, Inc. can be contacted via phone (574) 584-2812, or through Costello, Jeffrey P via phone (574) 647-3549.

Contact Information

Primary practice address
5314 Lincolnway E Mishawaka IN 46544-4249
Fax: (574) 584-2813
Website:
Authorized official contact:
Name: Costello, Jeffrey P

Profile Details

NPI number 1275550899
LBN Legal business name Beacon Medical Group, Inc.
DBA Doing business as <Unavail>
Authorized official Costello, Jeffrey P
Entity Organization
Organization subpart 1 No
Enumeration date Jul 17th, 2006
Last updated Mar 18th, 2026 - about 8 months 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 1275550899 NPPES
Indiana MEDICAID 300127345

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