Beacon Medical Group Advanced Cardiovascular Specialists Riverpointe

LBN: Beacon Medical Group, Inc.
Beacon Medical Group Advanced Cardiovascular Specialists Riverpointe is an health care organization with primary practice located at 500 Arcade Ave Ste 400 , Elkhart IN 46514-2487. The organization recently has 5 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology, Allopathic & Osteopathic Physicians / Interventional Cardiology, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Family. Allopathic & Osteopathic Physicians / Cardiovascular Disease is the primary health care specialty. Beacon Medical Group, Inc. can be contacted via phone (574) 522-2284, or through Costello, Jeffrey P via phone (574) 647-3549.

Contact Information

Primary practice address
500 Arcade Ave Ste 400 Elkhart IN 46514-2487
Phone: (574) 522-2284
Fax: (574) 522-3952
Website:
Map and Directions
Authorized official contact:
Name: Costello, Jeffrey P
Phone: (574) 647-3549

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 11-005017-1 Indiana
Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology 207RC0001X 11-005017-1 Indiana
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X 11-005017-1 Indiana
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X

Profile Details

NPI number 1528362647
LBN Legal business name Beacon Medical Group, Inc.
DBA Doing business as Beacon Medical Group Advanced Cardiovascular Specialists Riverpointe
Authorized official Costello, Jeffrey P
Entity Organization
Organization subpart 1 No
Enumeration date Jan 4th, 2011
Last updated Feb 22nd, 2024 - about 10 months 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 1528362647 NPPES
Indiana MEDICAID 201004850B

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