Beacon Medical Group, Inc
Beacon Medical Group, Inc provides Gynecologic Oncology Physician services in South Bend, Indiana. Registered with an NPI since 2015.
- In the registry since
- 2015
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
100 Navarre Pl Ste 4470South Bend, IN 46601-1168
Phone: (574) 647-4230
Fax: (574) 647-4235
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Gynecologic Oncology Physician (primary) | Taxonomy 207VX0201X |
|---|
Record details
| NPI number | 1821482431 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Beacon Health System, Inc |
| Authorized official | Jeffrey Costello — Cfo · (574) 647-3549 |
| Other names | Bmg Women'S Surgical Gyn/Onc @ Mrcc |
| NPI enumerated | March 20, 2015 |
| Last updated in NPPES | April 28, 2023 |
| Certification date | April 28, 2023 |
| Mailing address | 710 N Niles Ave, South Bend, IN 46617-1924 |
Other providers in South Bend
-
Dalilah Jessica Garcia-Rojas, PA
621 Memorial Dr Ste 100, South Bend, IN 46601-1063 · (574) 647-1100