Elkhart Cardiology

LBN: Beacon Medical Group, Inc.
Elkhart Cardiology is an health care organization with primary practice located at 303 S Nappanee St Ste A , Elkhart IN 46514-2066. 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) 296-3338, or through Costello, Jeff P via phone (574) 647-3549.

Contact Information

Primary practice address
303 S Nappanee St Ste A Elkhart IN 46514-2066
Phone: (574) 296-3338
Fax: (574) 296-3332
Website:
Map and Directions
Authorized official contact:
Name: Costello, Jeff P
Phone: (574) 647-3549

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 10-005017-1 Indiana

Profile Details

NPI number 1700187457
LBN Legal business name Beacon Medical Group, Inc.
DBA Doing business as Elkhart Cardiology
Authorized official Costello, Jeff P
Entity Organization
Organization subpart 1 No
Enumeration date Nov 11th, 2010
Last updated Apr 28th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700187457 NPPES
Indiana MEDICAID 201004850A

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