Beacon Medical Group, INC.
Family Medicine in Elkhart, IN. Organization (NPI-2).
NPI number1710329008
StatusActive
Last updated in NPPESSep 24, 2013
Details
- NPI
- 1710329008
- Entity type
- Organization (NPI-2)
- Legal business name
- Beacon Medical Group, INC.
- Organization subpart
- No
- Enumeration date
- Jul 27, 2013
- Last updated
- Sep 24, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 01054569A | IN | Yes |
Other names
- Med Point Urgent Care Center At Cr 6 (Doing Business As)
Practice location
3301 County Road 6 EElkhart, IN 46514-7673
Phone 574-266-5342 · Fax 574-266-5847
Mailing address
3301 County Road 6 EElkhart, IN 46514-7673
Authorized official
Jeffrey P. Costello
Cfo
5746473549
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