Beacon Imaging
LBN: Beacon Health, Llc
Beacon Imaging is an health care organization with primary practice located at 2222 Rieth Blvd Ste 101 , Goshen IN 46526-5869. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Ambulatory Health Care Facilities / Magnetic Resonance Imaging (MRI), Ambulatory Health Care Facilities / Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is the primary health care specialty.
Beacon Health, Llc can be contacted via phone (574) 875-1082, or through Costello, Jeffrey P via phone (574) 647-3460.
Contact Information
Primary practice address
2222 Rieth Blvd Ste 101
Goshen IN 46526-5869
Phone: (574) 875-1082
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | ||
| Ambulatory Health Care Facilities / Magnetic Resonance Imaging (MRI) | 261QM1200X | ||
| Ambulatory Health Care Facilities / Radiology | 261QR0200X |
Profile Details
| NPI number | 1952982217 |
|---|---|
| LBN Legal business name | Beacon Health, Llc |
| DBA Doing business as | Beacon Imaging |
| Authorized official | Costello, Jeffrey P |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 19th, 2021 |
| Last updated | Apr 28th, 2023 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1952982217 | NPPES |
| Indiana | MEDICAID | 300068141 |
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