Beacon Medical Group, Inc. in South Bend - Family Medicine
Beacon Medical Group, Inc. - NPI 1124079330
Beacon Medical Group, Inc. is a Family Medicine in South Bend, Indiana. Beacon Medical Group, Inc. practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Beacon Medical Group, Inc. is 1124079330. The last update date is 2023-04-24.
Beacon Medical Group, Inc.'s current location address is 1815 E Ireland Rd, South Bend, Indiana. You can contact this provider via phone number 5746471700 and fax number 5742913351. The mailing address for Beacon Medical Group, Inc. is 1815 E Ireland Rd, South Bend, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Beacon Medical Group, Inc. |
|---|---|
| Address | 1815 E Ireland Rd, South Bend, Indiana |
| Phone Number | 5746471700 |
| Fax Number | 5742913351 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | VP-CFO |
|---|---|
| Authorized Official Name | Costello Jeffrey |
| Telephone Number | 5746473549 |
NPI Number Detail
| NPI Number | 1124079330 |
|---|---|
| Provider Enumeration Date | 2006-05-12 |
| Last Updated Date | 2023-04-24 |
Provider Mailing Address Detail
| Address | 1815 E Ireland Rd |
|---|---|
| City | South Bend |
| State | Indiana (IN) |
| Post Code | 4661428450 |
| Phone Number | 5746471700 |
| Fax Number | 5742913351 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 01043622A |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 100224050B | IN | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Beacon Medical Group, Inc. by the Centers for Medicare & Medicaid Services?
The Beacon Medical Group, Inc. has been assigned the NPI (National Provider Identifier) 1124079330 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you share the physical location details of Beacon Medical Group, Inc.?
The Beacon Medical Group, Inc. is situated at 1815 E Ireland Rd, in the city of South Bend, state of IN, with the zip code 4661428450.
What is the Beacon Medical Group, Inc.'s specialty and taxonomy code?
The Beacon Medical Group, Inc.'s specialty is Family Medicine, and the corresponding taxonomy code is 207Q00000X.
When did the Beacon Medical Group, Inc. receive its 1124079330?
The Beacon Medical Group, Inc. was issued its 1124079330 on 2006-05-12, which is the date when the organization was assigned this unique identifier.
When was the information regarding Beacon Medical Group, Inc. most recently updated?
The details pertaining to the Beacon Medical Group, Inc., including its address, specialty, and other relevant information, were last refreshed on 2023-04-24.
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