BEACON MEDICAL GROUP, INC.

ELKHART, IN
NPI1699794057
Doing Business AsBEACON MEDICAL GROUP GASTROENTEROLOGY SOUTH BEND
Doing Business AsBEACON MEDICAL GROUP UROLOGY GOSHEN
Doing Business AsBEACON MEDICAL GROUP UROLOGY ELKHART
Doing Business AsBEACON MEDICAL GROUP GI AND INTERVENTIONAL RADIOLOGY
Entity TypeOrganization
Authorized ContactJEFFREY P COSTELLO
CFO
574-647-3549
Organization Subpart ?No
Primary Taxonomy207RG0100X Internal Medicine, Gastroenterology
(Licence: IN  06-005017-1)
Additional Taxonomies2085R0204X Radiology, Vascular & Interventional Radiology
208800000X Urology
Enumeration Date2006-07-18
Last Update Date2025-06-13
Business Address
BEACON MEDICAL GROUP, INC.
500 ARCADE AVE STE 300
ELKHART, IN 46514-2486
Phone number: 574-389-7362
Mailing Address
BEACON MEDICAL GROUP, INC.
3245 HEALTH DR STE 100
GRANGER, IN 46530-1380
Phone number: 574-647-1610
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