| Beacon Medical Group Cleveland Road | |
|
2235 Cleveland Rd South Bend IN 46628-3529 | |
| (574) 647-4530 | |
| (574) 647-2285 |
| Full Name | Beacon Medical Group Cleveland Road |
|---|---|
| Speciality | Family Medicine |
| Location | 2235 Cleveland Rd, South Bend, Indiana |
| Authorized Official Name and Position | Jeffrey P Costello (VP-CFO) |
| Authorized Official Contact | 5746473549 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Beacon Medical Group Cleveland Road 710 N Niles Ave South Bend IN 46617-1924 Ph: (574) 647-1610 | Beacon Medical Group Cleveland Road 2235 Cleveland Rd South Bend IN 46628-3529 Ph: (574) 647-4530 |
| NPI Number | 1588024624 |
|---|---|
| Provider Enumeration Date | 03/02/2016 |
| Last Update Date | 02/22/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588024624 | NPI | - | NPPES |
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