Beacon Medical Group Cardio Thoracic Surgery Elkhart

LBN: Beacon Medical Group, Inc.
Beacon Medical Group Cardio Thoracic Surgery Elkhart is an health care organization with primary practice located at 500 Arcade Ave Ste 230 , Elkhart IN 46514-2485. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as the primary health care specialty. Beacon Medical Group, Inc. can be contacted via phone (574) 522-6565, or through Costello, Jeff P via phone (574) 647-3549.

Contact Information

Primary practice address
500 Arcade Ave Ste 230 Elkhart IN 46514-2485
Fax: (574) 522-5572
Website:
Authorized official contact:
Name: Costello, Jeff P

Health care specialties

Profile Details

NPI number 1841582087
LBN Legal business name Beacon Medical Group, Inc.
DBA Doing business as Beacon Medical Group Cardio Thoracic Surgery Elkhart
Authorized official Costello, Jeff P
Entity Organization
Organization subpart 1 No
Enumeration date May 6th, 2011
Last updated Apr 28th, 2023 - about 3 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 1841582087 NPPES
Indiana MEDICAID 201022950A

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