| Beacon Medical Group Gastroenterology Elkhart | |
|
500 Arcade Ave Ste 300 Elkhart IN 46514-2486 | |
| (574) 389-7362 | |
| (574) 389-5612 |
| Full Name | Beacon Medical Group Gastroenterology Elkhart |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 500 Arcade Ave Ste 300, Elkhart, Indiana |
| Authorized Official Name and Position | Jeffrey P Costello (CFO) |
| Authorized Official Contact | 5746473549 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Beacon Medical Group Gastroenterology Elkhart 710 N Niles Ave South Bend IN 46617-1924 Ph: (574) 647-1610 | Beacon Medical Group Gastroenterology Elkhart 500 Arcade Ave Ste 300 Elkhart IN 46514-2486 Ph: (574) 389-7362 |
| NPI Number | 1699794057 |
|---|---|
| Provider Enumeration Date | 07/18/2006 |
| Last Update Date | 11/06/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699794057 | NPI | - | NPPES |
| 300042826 | Medicaid | IN | |
| 300054801 | Medicaid | IN |
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