Beacon Medical Group, Inc.

LBN: Beacon Medical Group, Inc.
Beacon Medical Group, Inc. is an health care organization with primary practice located at 1753 Fulton St , Elkhart IN 46514-1927. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Otolaryngology, Allopathic & Osteopathic Physicians / Otolaryngology/Facial Plastic Surgery, Speech, Language and Hearing Service Providers / Audiologist. Allopathic & Osteopathic Physicians / Otolaryngology/Facial Plastic Surgery is the primary health care specialty. Beacon Medical Group, Inc. can be contacted via phone (574) 293-9448, or through Costello, Jeffrey P via phone (574) 647-3549.

Contact Information

Primary practice address
1753 Fulton St Elkhart IN 46514-1927
Phone: (574) 293-9448
Fax: (574) 293-9480
Website:
Map and Directions
Authorized official contact:
Name: Costello, Jeffrey P
Phone: (574) 647-3549

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X
Allopathic & Osteopathic Physicians / Otolaryngology/Facial Plastic Surgery 207YX0905X
Speech, Language and Hearing Service Providers / Audiologist 231H00000X

Profile Details

NPI number 1295087500
LBN Legal business name Beacon Medical Group, Inc.
DBA Doing business as
Authorized official Costello, Jeffrey P
Entity Organization
Organization subpart 1 No
Enumeration date Oct 10th, 2012
Last updated Oct 12th, 2017 - about 9 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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