Beacon Hc Pharmacy Elk

LBN: Beacon Health Ventures Inc
Beacon Hc Pharmacy Elk is an health care organization with primary practice located at 5155 Verdant St , Elkhart IN 46516-9315. The organization recently has 7 registered licenses in different health care specialties including Agencies / Home Infusion, Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Parenteral & Enteral Nutrition, Suppliers / Oxygen Equipment & Supplies, Suppliers / Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Home Infusion Therapy Pharmacy. Suppliers / Home Infusion Therapy Pharmacy is the primary health care specialty. Beacon Health Ventures Inc can be contacted via phone (574) 524-7582, or through Conrad, Gregory via phone (574) 647-8777.

Contact Information

Primary practice address
5155 Verdant St Elkhart IN 46516-9315
Phone: (574) 524-7582
Fax: (574) 524-7597
Website:
Map and Directions
Authorized official contact:
Name: Conrad, Gregory
Phone: (574) 647-8777

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Infusion 251F00000X
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Parenteral & Enteral Nutrition 332BP3500X
Suppliers / Oxygen Equipment & Supplies 332BX2000X
Suppliers / Pharmacy 333600000X
Suppliers / Compounding Pharmacy 3336C0004X
Suppliers / Home Infusion Therapy Pharmacy 3336H0001X

Profile Details

NPI number 1477816080
LBN Legal business name Beacon Health Ventures Inc
DBA Doing business as Beacon Hc Pharmacy Elk
Authorized official Conrad, Gregory
Entity Organization
Organization subpart 1 No
Enumeration date Jun 19th, 2012
Last updated Feb 27th, 2017 - about 7 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 1477816080 NPPES
Other 2158807 PK
MEDICAID 100301140C PK

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