Beacon Medical Group, Inc. in South Bend - Vascular & Interventional Radiology
Beacon Medical Group, Inc. - NPI 1699794057
Beacon Medical Group, Inc. is a Vascular & Interventional Radiology in South Bend, Indiana. Beacon Medical Group, Inc. practices all healthcare services and medical treatments related to Vascular & Interventional Radiology. The NPI Number for Beacon Medical Group, Inc. is 1699794057. The last update date is 2023-10-09.
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 and fax number 5742376069. 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 | 5742376069 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CFO |
|---|---|
| Authorized Official Name | Costello P Jeffrey |
| Telephone Number | 5746473549 |
NPI Number Detail
| NPI Number | 1699794057 |
|---|---|
| Provider Enumeration Date | 2006-07-18 |
| Last Updated Date | 2023-10-09 |
Provider Mailing Address Detail
| Address | 710 N Niles Ave |
|---|---|
| City | South Bend |
| State | Indiana (IN) |
| Post Code | 466171924 |
| Phone Number | 5746471610 |
| Fax Number | 5742376069 |
Provider's Primary Taxonomy Detail
| Speciality | Vascular & Interventional Radiology |
|---|---|
| Taxonomy | 2085R0204X |
|
Definition: A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 300054801 | IN | -- | |
| 300042826 | 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) 1699794057, 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 address where Beacon Medical Group, Inc. is geographically located?
The Beacon Medical Group, Inc. is physically situated at the following location: 710 N Niles Ave, South Bend, IN, 466171924.
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 Vascular & Interventional Radiology, and the taxonomy code that classifies this field of practice is 2085R0204X.
When did the Beacon Medical Group, Inc. receive its 1699794057?
The Beacon Medical Group, Inc. was issued its 1699794057 on 2006-07-18, which is the date when the organization was assigned this unique identifier.
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 2023-10-09.
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