BEACON MEDICAL GROUP INC. NPI 1710329008

NPI Information

  • NPI: 1710329008
  • Provider Name: BEACON MEDICAL GROUP, INC.
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Doing Business As: MED POINT URGENT CARE CENTER AT CR 6
  • CLIA Number: 15D2070880
  • Address: 3301 COUNTY ROAD 6 E
    ELKHART, IN
    ZIP 46514
  • Phone: (574) 266-5342

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NPI Details

BEACON MEDICAL GROUP, INC. is a family medicine in Elkhart, IN. The provider is 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. BEACON MEDICAL GROUP, INC. NPI is 1710329008. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Med Point Urgent Care Center At Cr 6.

The provider's business location address is:

3301 COUNTY ROAD 6 E
ELKHART, IN
ZIP 46514-673
Phone: (574) 266-5342
Fax: (574) 266-5847

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 CLIA number assigned to this NPI record is 15D2070880 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/27/2013 and was last updated on 9/24/2013.

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
1207Q00000XFamily Medicine01054569AINDIANAYes

What is NPI?

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This page was last updated on: 11/21/2025

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