Beacon Medical Group Inc in South Bend - Obstetrics & Gynecology
Beacon Medical Group Inc - NPI 1124071246
Beacon Medical Group Inc is a Obstetrics & Gynecology in South Bend, Indiana. Beacon Medical Group Inc practices all healthcare services and medical treatments related to Obstetrics & Gynecology. The NPI Number for Beacon Medical Group Inc is 1124071246. The last update date is 2016-08-30.
Beacon Medical Group Inc's current location address is 100 Navarre Pl, South Bend, Indiana. You can contact this provider via phone number 5746474230. The mailing address for Beacon Medical Group Inc is 100 Navarre Pl, South Bend, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Beacon Medical Group Inc |
|---|---|
| Address | 100 Navarre Pl, South Bend, Indiana |
| Phone Number | 5746474230 |
| 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 | 1124071246 |
|---|---|
| Provider Enumeration Date | 2006-05-18 |
| Last Updated Date | 2016-08-30 |
Provider Mailing Address Detail
| Address | 100 Navarre Pl |
|---|---|
| City | South Bend |
| State | Indiana (IN) |
| Post Code | 4660111560 |
| Phone Number | 5746474230 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Obstetrics & Gynecology |
|---|---|
| Taxonomy | 207V00000X |
| Licence No | 01027434A |
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Definition: An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as |
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What is the unique 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) 1124071246. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Beacon Medical Group Inc's physical address?
The Beacon Medical Group Inc is physically located at 100 Navarre Pl, in the city of South Bend, IN, with the postal code 4660111560.
What is the Beacon Medical Group Inc's specialty and taxonomy code?
The Beacon Medical Group Inc's specialty is Obstetrics & Gynecology, and the corresponding taxonomy code is 207V00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1124071246 to Beacon Medical Group Inc?
The Centers for Medicare & Medicaid Services originally issued the 1124071246 to Beacon Medical Group Inc on 2006-05-18.
As of what date were the Beacon Medical Group Inc's details last updated?
The information pertaining to the Beacon Medical Group Inc, including its address, specialty, and other details, was most recently updated on 2016-08-30.