Organization · Type 2 NPI

Beacon Medical Group, Inc.

Cardiovascular Disease Physician · Three Rivers, MI

NPI number 1437574530 Active

Practice location

711 S Health Parkway
Three Rivers, MI 49093-9387

Call (269) 273-9698 Map

Fax (269) 273-9699

Mailing address

710 N Niles Ave
South Bend, IN 46617-1924

Specialties and licenses

Taxonomy	Code	License
Cardiovascular Disease Physician Primary	207RC0000X	None listed
Otolaryngology Physician	207Y00000X	None listed

Cardiovascular Disease Physician: An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

2 other providers at this address

NPI record

NPI: 1437574530
Entity type: Organization (Type 2)
Issued: Feb 26, 2014
Last updated: Apr 24, 2023
Status: Active

Other names

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Beacon Medical Group Three Rivers Specialty Clinic · doing business as
Beacon Medical Group Three Rivers Specialty Clinic · doing business as

Authorized official

Jeffrey P. Costello
CFO
(574) 647-3549

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About NPI 1437574530

Beacon Medical Group, Inc.'s National Provider Identifier is 1437574530, issued on Feb 26, 2014. The primary taxonomy on file is Cardiovascular Disease Physician (207RC0000X), and the practice location is in Three Rivers, MI. The record was last updated on Apr 24, 2023.