BEACON MEDICAL GROUP INC. NPI 1437574530

NPI Information

  • NPI: 1437574530
  • Provider Name: BEACON MEDICAL GROUP, INC.
  • Classification: Internal Medicine - 207RC0000X
  • Specialization: Cardiovascular Disease
  • Entity Type: Organization
  • Doing Business As: BEACON MEDICAL GROUP THREE RIVERS SPECIALTY CLINIC
  • Address: 711 S HEALTH PARKWAY
    THREE RIVERS, MI
    ZIP 49093
  • Phone: (269) 273-9698

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NPI Details

BEACON MEDICAL GROUP, INC. is a cardiovascular disease internal medicine in Three Rivers, MI. The provider is 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. BEACON MEDICAL GROUP, INC. NPI is 1437574530. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Beacon Medical Group Three Rivers Specialty Clinic.

The provider's business location address is:

711 S HEALTH PARKWAY
THREE RIVERS, MI
ZIP 49093-387
Phone: (269) 273-9698
Fax: (269) 273-9699

The provider's authorized official is Jeffrey P. Costello .
The authorized official title is Cfo and has the following contact phone number (574) 647-3549.

The enumeration date for this NPI number is 2/26/2014 and was last updated on 4/24/2023.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Y00000XOtolaryngologyNo
2207RC0000XInternal MedicineCardiovascular DiseaseYes

What is NPI?

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This page was last updated on: 3/30/2025

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