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BEACON HEALTH VENTURES INC NPI 1265028971


NPI Information

NPI: 1265028971
Provider Name: BEACON HEALTH VENTURES INC

Doing Business As: BEACON HOME CARE PHARMACY

Classification: Home Infusion - 251F00000X
Entity Type: Organization
Address:
3355 DOUGLAS RD
SOUTH BEND, IN
ZIP 46635
Phone: (574) 647-8675
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BEACON HEALTH VENTURES INC is a home infusion in South Bend, IN. BEACON HEALTH VENTURES INC NPI is 1265028971. The provider is registered as an organization entity type.
The provider Is Doing Business As Beacon Home Care Pharmacy.

The provider's business location address is:

3355 DOUGLAS RD
SOUTH BEND, IN
ZIP 46635-779
Phone: (574) 647-8675
Fax: (574) 647-8764

The provider's authorized official is Trudy Kay Wait .
The authorized official title is Pharmacy Manager and has the following contact phone number (574) 647-8674.

The enumeration date for this NPI number is 12/16/2020 and was last updated on 1/11/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332B00000XDurable Medical Equipment & Medical SuppliesNo
2251F00000XHome InfusionYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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