Beacon Health Ventures INC
Family Medicine in Elkhart, IN. Organization (NPI-2).
NPI number1720996150
StatusActive
Last updated in NPPESAug 28, 2026
Details
- NPI
- 1720996150
- Entity type
- Organization (NPI-2)
- Legal business name
- Beacon Health Ventures INC
- Organization subpart
- No
- Enumeration date
- Aug 28, 2026
- Certification date
- Aug 18, 2026
- Last updated
- Aug 28, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
Practice location
28070 Cr 24 WElkhart, IN 46517
Phone 574-970-9229
Mailing address
28070 Cr 24 WElkhart, IN 46517
Phone 574-970-9229
Authorized official
Jeffrey Costello
Cfo
5746473460
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