BEACON MEDICAL GROUP, INC.

MISHAWAKA, IN
NPI1275550899
Doing Business AsBEACON MEDICAL GROUP MISHAWAKA
Entity TypeOrganization
Authorized ContactJEFFREY P COSTELLO
CFO
574-647-3549
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
Additional Taxonomies363L00000X Nurse Practitioner
Enumeration Date2006-07-17
Last Update Date2024-03-04
Business Address
BEACON MEDICAL GROUP, INC.
5314 LINCOLNWAY E
MISHAWAKA, IN 46544-4249
Phone number: 574-584-2812
Mailing Address
BEACON MEDICAL GROUP, INC.
3245 HEALTH DR STE 100
GRANGER, IN 46530-1380
Phone number: 574-647-2129