Beacon Medical Group Critical Kids

LBN: Beacon Medical Group, Inc.
Beacon Medical Group Critical Kids is an health care organization with primary practice located at 615 N Michigan St 5Th Fl , South Bend IN 46601-1033. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine, which is considered as the primary health care specialty. Beacon Medical Group, Inc. can be contacted via phone (574) 647-7275, or through Costello, Jeffrey via phone (574) 647-3549.

Contact Information

Primary practice address
615 N Michigan St 5Th Fl South Bend IN 46601-1033
Phone: (574) 647-7275
Fax: (574) 647-3696
Website:
Map and Directions
Authorized official contact:
Name: Costello, Jeffrey
Phone: (574) 647-3549

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine 2080P0203X

Profile Details

NPI number 1467408237
LBN Legal business name Beacon Medical Group, Inc.
DBA Doing business as Beacon Medical Group Critical Kids
Authorized official Costello, Jeffrey
Entity Organization
Organization subpart 1 No
Enumeration date May 25th, 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 1467408237 NPPES
Indiana MEDICAID 200235870A

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