Beacon Medical Group, Inc. in South Bend - Family Medicine
Beacon Medical Group, Inc. - NPI 1275587149
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 1275587149. The last update date is 2018-07-03.
Beacon Medical Group, Inc.'s current location address is 813 S Michigan St, South Bend, Indiana. You can contact this provider via phone number 5746472400 and fax number 5746474201. The mailing address for Beacon Medical Group, Inc. is 813 S Michigan St, South Bend, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Beacon Medical Group, Inc. |
|---|---|
| Address | 813 S Michigan St, South Bend, Indiana |
| Phone Number | 5746472400 |
| Fax Number | 5746474201 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | VP-CFO |
|---|---|
| Authorized Official Name | Costello Jeffrey |
| Telephone Number | 5746473549 |
NPI Number Detail
| NPI Number | 1275587149 |
|---|---|
| Provider Enumeration Date | 2006-05-22 |
| Last Updated Date | 2018-07-03 |
Provider Mailing Address Detail
| Address | 813 S Michigan St |
|---|---|
| City | South Bend |
| State | Indiana (IN) |
| Post Code | 46601 |
| Phone Number | 5746472400 |
| Fax Number | 5746474201 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 01022886A |
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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 |
|---|---|---|---|
| 200191560B | IN | -- | |
| 200191560A | IN | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Beacon Medical Group, Inc. by the Centers for Medicare & Medicaid Services?
The Beacon Medical Group, Inc. has been issued the NPI (National Provider Identifier) 1275587149, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Beacon Medical Group, Inc.'s facilities are situated?
The facilities of Beacon Medical Group, Inc. are physically located at the following address: 813 S Michigan St, South Bend, IN, 46601.
What is Beacon Medical Group, Inc.'s specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Beacon Medical Group, Inc. is Family Medicine, and the taxonomy code that classifies this field of practice is 207Q00000X.
When did Beacon Medical Group, Inc. receive its 1275587149 assignment?
The Beacon Medical Group, Inc. was assigned its 1275587149 on 2006-05-22, which is the date when this unique identifier was issued to the organization.
As of what date were the details related to Beacon Medical Group, Inc. most recently updated or revised?
The information pertaining to Beacon Medical Group, Inc., including its address, specialty, and other relevant details, was last updated or revised on 2018-07-03.