Beacon Medical Group Mishawaka
LBN: Beacon Medical Group, Inc.
Beacon Medical Group Mishawaka is an health care organization with primary practice located at 5314 Lincolnway E , Mishawaka IN 46544-4249. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty.
Beacon Medical Group, Inc. can be contacted via phone (574) 584-2812, or through Costello, Jeffrey P via phone (574) 647-3549.
Contact Information
Primary practice address
5314 Lincolnway E
Mishawaka IN 46544-4249
Phone: (574) 584-2812
Fax: (574) 584-2813
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X |
Profile Details
| NPI number | 1275550899 |
|---|---|
| LBN Legal business name | Beacon Medical Group, Inc. |
| DBA Doing business as | Beacon Medical Group Mishawaka |
| Authorized official | Costello, Jeffrey P |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 17th, 2006 |
| Last updated | Mar 4th, 2024 - 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.
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