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BEACON MEDICAL GROUP INC. NPI 1447203674


NPI Information

NPI: 1447203674
Provider Name: BEACON MEDICAL GROUP, INC.

Doing Business As: MEMORIAL CHILDREN'S HOSPITAL NAVARRE PEDIATRICS

Classification: Pediatrics - 208000000X
Entity Type: Organization
Address:
100 NAVARRE PL STE 4440
SOUTH BEND, IN
ZIP 46601
Phone: (574) 647-4540
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BEACON MEDICAL GROUP, INC. is a pediatrics in South Bend, IN. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. BEACON MEDICAL GROUP, INC. NPI is 1447203674. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Memorial Children's Hospital Navarre Pediatrics.

The provider's business location address is:

100 NAVARRE PL STE 4440
SOUTH BEND, IN
ZIP 46601-171
Phone: (574) 647-4540
Fax: (574) 647-4542

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

The enumeration date for this NPI number is 5/18/2006 and was last updated on 4/4/2019.


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
1208000000XPediatrics01046281AINDIANAYes

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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