Beacon Integrated Healthcare

LBN: Beacon Integrated Healthcare
Beacon Integrated Healthcare is an health care organization with primary practice located at 118 Wood St Ofc 1 , De Kalb TX 75559-2112. The organization recently has 5 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Clinic/Center, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Ambulatory Health Care Facilities / Multi-Specialty, Ambulatory Health Care Facilities / Rural Health, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is the primary health care specialty. Beacon Integrated Healthcare can be contacted via phone (903) 417-5377, or through Ingram, Antonio D. via phone (903) 417-5377.

Contact Information

Primary practice address
118 Wood St Ofc 1 De Kalb TX 75559-2112
Phone: (903) 417-5377
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Ingram, Antonio D. FNP-BC
Phone: (903) 417-5377

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X
Ambulatory Health Care Facilities / Rural Health 261QR1300X
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X

Profile Details

NPI number 1164176749
LBN Legal business name Beacon Integrated Healthcare
DBA Doing business as
Authorized official Ingram, Antonio D. FNP-BC
Entity Organization
Organization subpart 1 Yes
Enumeration date Feb 11th, 2022
Last updated Feb 11th, 2022 - 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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