Beacon Medical Group, Inc
Beacon Medical Group, Inc is an Adult Health Nurse Practitioner in South Bend, Indiana. Licensed in Indiana. Registered with an NPI since 2013.
- Licensed in
- IN
- In the registry since
- 2013
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
621 Memorial Dr Ste 602South Bend, IN 46601-1063
Phone: (574) 647-7413
Fax: (574) 647-2471
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Adult Health Nurse Practitioner (primary) | Taxonomy 363LA2200X · Licence 71001587A (IN) |
|---|
Record details
| NPI number | 1518302264 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jeffrey Costello — Cfo · (574) 647-3549 |
| Other names | Memorial Pain Management |
| NPI enumerated | May 8, 2013 |
| Last updated in NPPES | August 30, 2016 |
| Mailing address | 710 N Niles Ave, South Bend, IN 46617-1924 |
Other providers in South Bend
-
Freda Ann Black, NURSEPRACTITIONER
112 W Jefferson Blvd, South Bend, IN 46601-1923 · (574) 546-1900
-
Toni Brown, NP
333 W Western Ave, South Bend, IN 46601-2215 · (574) 299-4847
-
Vicky Jo Gross, NP
4600 W Washington St, South Bend, IN 46619-2320 · (574) 282-1294
-
Laura Myers Hieronymus, CANP
1700 Mishawaka Ave Student Activity Ctr Rm 130, South Bend, IN 46634-7111 · (574) 250-5557