Beacon Medical Group Gastroenterology Elkhart
LBN: Beacon Medical Group, Inc.
Beacon Medical Group Gastroenterology Elkhart is an health care organization with primary practice located at 500 Arcade Ave Ste 300 , Elkhart IN 46514-2486. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Gastroenterology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Gastroenterology is the primary health care specialty.
Beacon Medical Group, Inc. can be contacted via phone (574) 389-7362, or through Costello, Jeffrey P via phone (574) 647-3549.
Contact Information
Primary practice address
500 Arcade Ave Ste 300
Elkhart IN 46514-2486
Phone: (574) 389-7362
Fax: (574) 389-5612
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 06-005017-1 | Indiana |
| Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X |
Profile Details
| NPI number | 1699794057 |
|---|---|
| LBN Legal business name | Beacon Medical Group, Inc. |
| DBA Doing business as | Beacon Medical Group Gastroenterology Elkhart |
| Authorized official | Costello, Jeffrey P |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 18th, 2006 |
| Last updated | Oct 9th, 2023 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1699794057 | NPPES |
| Indiana | MEDICAID | 300054801 | |
| Indiana | MEDICAID | 300042826 |
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