Organization · Type 2 NPI

Beacon Medical Group, Inc.

Family Medicine Physician · Goshen, IN

NPI number 1689691297 Active

Practice location

2120 Rieth Blvd Ste C
Goshen, IN 46526-5858

Call (574) 875-6911 Map

Fax (574) 875-1057

Mailing address

710 N Niles Ave
South Bend, IN 46617-1924

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician Primary	207Q00000X	None listed
Family Nurse Practitioner	363LF0000X	None listed

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

4 other providers at this address

Other family medicine physician providers in Goshen

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NPI record

NPI: 1689691297
Entity type: Organization (Type 2)
Issued: Jul 17, 2006
Last updated: Mar 4, 2024
Status: Active

Other names

<unavail>
Beacon Medical Group Goshen · doing business as
Beacon Medical Group Goshen · doing business as

Authorized official

Mr. Jeffrey P Costello
CFO
(574) 647-3549

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1689691297

Beacon Medical Group, Inc.'s National Provider Identifier is 1689691297, issued on Jul 17, 2006. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Goshen, IN. The record was last updated on Mar 4, 2024.