BEACON MEDICAL GROUP, INC.

ELKHART, IN
NPI1316073372
Doing Business AsBEACON MEDICAL GROUP OBGYN RIVER OAKS LAWN AENUE
Doing Business AsBEACON MEDICAL GROUP OBSTETRICS & GYNECOLOGY ELKHART
Doing Business AsBEACON MEDICAL GROUP OBGYN RIVER OAKS
Entity TypeOrganization
Authorized ContactJEFFREY P COSTELLO
CFO
574-647-3549
Organization Subpart ?No
Primary Taxonomy207V00000X Obstetrics & Gynecology
(Licence: IN  07-005017-1)
Additional Taxonomies367A00000X Advanced Practice Midwife
363LF0000X Nurse Practitioner, Family
Enumeration Date2007-02-26
Last Update Date2024-03-04
Business Address
BEACON MEDICAL GROUP, INC.
1215 LAWN AVE STE 100
ELKHART, IN 46514-2450
Phone number: 574-293-2893
Mailing Address
BEACON MEDICAL GROUP, INC.
710 N NILES AVE
SOUTH BEND, IN 46617-1924
Phone number: 574-647-1610
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