Beacon Medical Group, Inc. in South Bend - Family Medicine
Beacon Medical Group, Inc. - NPI 1639129117
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 1639129117. The last update date is 2023-04-24.
Beacon Medical Group, Inc.'s current location address is 710 N Niles Ave, South Bend, Indiana. You can contact this provider via phone number 5746471610. The mailing address for Beacon Medical Group, Inc. is 710 N Niles Ave, South Bend, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Beacon Medical Group, Inc. |
|---|---|
| Address | 710 N Niles Ave, South Bend, Indiana |
| Phone Number | 5746471610 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | VP-CFO |
|---|---|
| Authorized Official Name | Costello Jeffrey |
| Telephone Number | 5746473549 |
NPI Number Detail
| NPI Number | 1639129117 |
|---|---|
| Provider Enumeration Date | 2006-05-12 |
| Last Updated Date | 2023-04-24 |
Provider Mailing Address Detail
| Address | 710 N Niles Ave |
|---|---|
| City | South Bend |
| State | Indiana (IN) |
| Post Code | 466171924 |
| Phone Number | 5746471610 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 01056419A |
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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 |
|---|---|---|---|
| 100162390A | IN | -- |
Post Comment/ Review Below
What is the unique 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) 1639129117. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Beacon Medical Group, Inc. is located?
The Beacon Medical Group, Inc. is situated at the following address: 710 N Niles Ave, South Bend, IN, 466171924.
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.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1639129117 to Beacon Medical Group, Inc.?
The Centers for Medicare & Medicaid Services originally issued the 1639129117 to Beacon Medical Group, Inc. on 2006-05-12.
When was the information regarding Beacon Medical Group, Inc., such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Beacon Medical Group, Inc., including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2023-04-24.