Beacon Medical Group Cleveland Road

LBN: Beacon Medical Group, Inc.
Beacon Medical Group Cleveland Road is an health care organization with primary practice located at 2235 Cleveland Rd , South Bend IN 46628-3529. The organization recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Nephrology, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, Physician Assistants & Advanced Practice Nursing Providers / Family. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. Beacon Medical Group, Inc. can be contacted via phone (574) 647-4530, or through Costello, Jeffrey P via phone (574) 647-3549.

Contact Information

Primary practice address
2235 Cleveland Rd South Bend IN 46628-3529
Phone: (574) 647-4530
Fax: (574) 647-2285
Website:
Map and Directions
Authorized official contact:
Name: Costello, Jeffrey P
Phone: (574) 647-3549

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X

Profile Details

NPI number 1588024624
LBN Legal business name Beacon Medical Group, Inc.
DBA Doing business as Beacon Medical Group Cleveland Road
Authorized official Costello, Jeffrey P
Entity Organization
Organization subpart 1 No
Enumeration date Mar 2nd, 2016
Last updated Feb 22nd, 2024 - about 2 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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