Beacon Medical Group Oncology Elkhart
LBN: Beacon Medical Group, Inc.
Beacon Medical Group Oncology Elkhart is an health care organization with primary practice located at 621 Memorial Dr Ste 100 , South Bend IN 46601-1063. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hematology & Oncology, Allopathic & Osteopathic Physicians / Radiation Oncology. Allopathic & Osteopathic Physicians / Radiation Oncology is the primary health care specialty.
Beacon Medical Group, Inc. can be contacted via phone (574) 647-1100, or through Costello, Jeffrey P. via phone (574) 647-3549.
Contact Information
Primary practice address
621 Memorial Dr Ste 100
South Bend IN 46601-1063
Phone: (574) 647-1100
Fax: (574) 647-5907
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | ||
Allopathic & Osteopathic Physicians / Radiation Oncology | 2085R0001X | 01021173A | Indiana |
Profile Details
NPI number | 1770775009 |
---|---|
LBN Legal business name | Beacon Medical Group, Inc. |
DBA Doing business as | Beacon Medical Group Oncology Elkhart |
Authorized official | Costello, Jeffrey P. |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Aug 10th, 2007 |
Last updated | Apr 28th, 2023 - about 2 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1770775009 | NPPES |
Indiana | MEDICAID | 300046000 |
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