| Beacon Medical Group Goshen | |
|
2120 Rieth Blvd Ste C Goshen IN 46526-5858 | |
| (574) 875-6911 | |
| (574) 875-1057 |
| Full Name | Beacon Medical Group Goshen |
|---|---|
| Speciality | Family Medicine |
| Location | 2120 Rieth Blvd Ste C, Goshen, 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 Goshen 710 N Niles Ave South Bend IN 46617-1924 Ph: (574) 647-1610 | Beacon Medical Group Goshen 2120 Rieth Blvd Ste C Goshen IN 46526-5858 Ph: (574) 875-6911 |
| NPI Number | 1689691297 |
|---|---|
| Provider Enumeration Date | 07/17/2006 |
| Last Update Date | 03/04/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689691297 | NPI | - | NPPES |
| 000000110757 | Other | IN | ANTHEM BCBS |
| 200263280A | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Secondary |
Maple City Health Care Center, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 213 Middlebury St, Goshen, IN 46528 Phone: 574-534-3300 Fax: 574-534-5412 | |
Goshen Family Physicians Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1811 Charlton Ct, Goshen, IN 46526 Phone: 574-534-8200 Fax: 574-534-0411 | |
Krabill Family Medicine Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1806 Charlton Ct, Goshen, IN 46526 Phone: 574-534-2400 | |
Elkhart Clinic, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1122 Professional Dr, Goshen, IN 46526 Phone: 574-296-3291 Fax: 574-296-3383 | |
Goshen Health System Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2004 Elkhart Rd Ste A, Goshen, IN 46526 Phone: 574-364-2611 Fax: 574-364-2784 | |
Goshen Health System, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1814 Charlton Ct Ste A, Goshen, IN 46526 Phone: 574-533-4169 Fax: 574-534-8822 | |
Goshen Health System Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1615 Winsted Dr Ste 2, Goshen, IN 46526 Phone: 574-537-1625 Fax: 574-537-9384 |