Beacon Medical Group Sleep Medicine

LBN: Beacon Medical Group, Inc.
Beacon Medical Group Sleep Medicine is an health care organization with primary practice located at 525 W Bristol St , Elkhart IN 46514-2964. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Sleep Medicine, which is considered as the primary health care specialty. Beacon Medical Group, Inc. can be contacted via phone (574) 262-0239, or through Costello, Jeffrey P via phone (574) 647-3549.

Contact Information

Primary practice address
525 W Bristol St Elkhart IN 46514-2964
Phone: (574) 262-0239
Fax: (574) 262-8391
Website:
Map and Directions
Authorized official contact:
Name: Costello, Jeffrey P
Phone: (574) 647-3549

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sleep Medicine 207RS0012X

Profile Details

NPI number 1881925188
LBN Legal business name Beacon Medical Group, Inc.
DBA Doing business as Beacon Medical Group Sleep Medicine
Authorized official Costello, Jeffrey P
Entity Organization
Organization subpart 1 No
Enumeration date Jan 26th, 2010
Last updated May 5th, 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 1881925188 NPPES
Indiana MEDICAID 200977370

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