1538265863 BEACON MEDICAL GROUP, INC.
Mental Health Clinic/Center (Including Community Mental Health Center)
Active
Basic Information
- Organization Name
- BEACON MEDICAL GROUP, INC.
- Enumeration Date
- September 15, 2006
- Last Update
- October 27, 2016
- Authorized Official
- MR. JEFFREY P COSTELLO
CFO
Phone: (574) 647-3549
Practice Location
- Address
- 1506 OSOLO RD
SUITE A
ELKHART, IN 465144122 - Phone
- (574) 523-3347
- Fax
- (574) 206-9502
Mailing Address
- Address
- 710 N NILES AVE
SOUTH BEND, IN 466171924 - Phone
- (574) 647-1610
- Fax
- (574) 237-6069
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) Mental Health (Including Community Mental Health Center) | 261QM0801X | Clinic/Center | 06-005017-1 | IN | Primary |
Other Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000110756 | 01 | IN | ANTHEM BCBS |
| 000000075060 | 01 | IN | ANTHEM BCBS-MSW |
| 100268350A | 05 | IN | N/A |
Frequently Asked Questions
What is BEACON MEDICAL GROUP, INC.'s NPI number?
BEACON MEDICAL GROUP, INC.'s NPI number is 1538265863.
Which doctor has NPI number 1538265863?
The doctor with NPI number 1538265863 is BEACON MEDICAL GROUP, INC..
What is BEACON MEDICAL GROUP, INC.'s practice address?
BEACON MEDICAL GROUP, INC.'s practice address is 1506 OSOLO RD, SUITE A, ELKHART, IN, 465144122.
Which doctor practices at 1506 OSOLO RD, SUITE A, ELKHART, IN, 465144122?
BEACON MEDICAL GROUP, INC. practices at 1506 OSOLO RD, SUITE A, ELKHART, IN, 465144122.
What is BEACON MEDICAL GROUP, INC.'s mailing address?
BEACON MEDICAL GROUP, INC.'s mailing address is 710 N NILES AVE, SOUTH BEND, IN, 466171924.
What is BEACON MEDICAL GROUP, INC.'s phone number?
BEACON MEDICAL GROUP, INC.'s phone number is (574) 523-3347.
Who is (574) 523-3347?
(574) 523-3347 is the phone number for BEACON MEDICAL GROUP, INC..
What is BEACON MEDICAL GROUP, INC.'s specialty?
BEACON MEDICAL GROUP, INC.'s specialty is Mental Health Clinic/Center (Including Community Mental Health Center).
What type of doctor is BEACON MEDICAL GROUP, INC.?
BEACON MEDICAL GROUP, INC. is a Mental Health Clinic/Center (Including Community Mental Health Center).
Is BEACON MEDICAL GROUP, INC. a Mental Health (Including Community Mental Health Center)?
Yes, BEACON MEDICAL GROUP, INC. is a Mental Health (Including Community Mental Health Center).
Is BEACON MEDICAL GROUP, INC. still practicing?
Yes, BEACON MEDICAL GROUP, INC. is currently practicing.
Is BEACON MEDICAL GROUP, INC. accepting new patients?
BEACON MEDICAL GROUP, INC. may be accepting new patients. Please call their office at (574) 523-3347 to inquire about availability.
Is NPI 1538265863 still active?
Yes, NPI 1538265863 is currently active.
Where does BEACON MEDICAL GROUP, INC. practice?
BEACON MEDICAL GROUP, INC. practices in ELKHART, IN.