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:
Health care specialties
Specialty | Code | License # | 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 7 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1528362647 | NPPES |
Indiana | MEDICAID | 201004850B |
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