Beacon Medical Group Concord Specialty Clinic

LBN: Beacon Medical Group Inc.
Beacon Medical Group Concord Specialty Clinic is an health care organization with primary practice located at 25651 County Road 20 , Elkhart IN 46517-2310. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as the primary health care specialty. Beacon Medical Group Inc. can be contacted via phone (574) 524-7128, or through Costello, Jeffrey P via phone (574) 647-3549.

Contact Information

Primary practice address
25651 County Road 20 Elkhart IN 46517-2310
Phone: (574) 524-7128
Fax: (574) 296-6522
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

Profile Details

NPI number 1679980320
LBN Legal business name Beacon Medical Group Inc.
DBA Doing business as Beacon Medical Group Concord Specialty Clinic
Authorized official Costello, Jeffrey P
Entity Organization
Organization subpart 1 No
Enumeration date Jul 15th, 2014
Last updated Aug 30th, 2016 - about 8 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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