Beacon Medical Group Bremen

LBN: Beacon Medical Group Inc
Beacon Medical Group Bremen is an health care organization with primary practice located at 1144 W Plymouth St , Bremen IN 46506-1842. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Gynecology, Physician Assistants & Advanced Practice Nursing Providers / Family. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. Beacon Medical Group Inc can be contacted via phone (574) 546-5363, or through Costello, Jeffrey P. via phone (574) 647-3460.

Contact Information

Primary practice address
1144 W Plymouth St Bremen IN 46506-1842
Phone: (574) 546-5363
Fax: (574) 546-2575
Website:
Map and Directions
Authorized official contact:
Name: Costello, Jeffrey P.
Phone: (574) 647-3460

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Allopathic & Osteopathic Physicians / Gynecology 207VG0400X
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X

Profile Details

NPI number 1942781109
LBN Legal business name Beacon Medical Group Inc
DBA Doing business as Beacon Medical Group Bremen
Authorized official Costello, Jeffrey P.
Entity Organization
Organization subpart 1 No
Enumeration date Aug 27th, 2018
Last updated Feb 22nd, 2024 - 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.

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