Beacon Medical Group Schwartz - Wiekamp

LBN: Beacon Medical Group, Inc.
Beacon Medical Group Schwartz - Wiekamp is an health care organization with primary practice located at 4630 Vistula Rd , Mishawaka IN 46544-4000. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Beacon Medical Group, Inc. can be contacted via phone (574) 647-1900, or through Costello, Jeffrey via phone (574) 647-3549.

Contact Information

Primary practice address
4630 Vistula Rd Mishawaka IN 46544-4000
Fax: (574) 254-7222
Website:
Authorized official contact:
Name: Costello, Jeffrey

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 01058339A Indiana

Profile Details

NPI number 1033161617
LBN Legal business name Beacon Medical Group, Inc.
DBA Doing business as Beacon Medical Group Schwartz - Wiekamp
Authorized official Costello, Jeffrey
Entity Organization
Organization subpart 1 No
Enumeration date May 16th, 2006
Last updated Apr 24th, 2023 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1033161617 NPPES
Indiana MEDICAID 200130710A

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