OrganizationActive
Beacon Medical Group Inc.
NPI 1679980320 · Cardiovascular Disease Physician · Elkhart, IN
Provider details
- NPI number
- 1679980320
- Entity type
- Organization
- Primary specialty
- Cardiovascular Disease PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Jeffrey Costello, Cfo
Practice location
25651 County Road 20
Elkhart, IN 46517-2310
Phone: (574) 524-7128
Fax: (574) 296-6522
Mailing address
710 N Niles Ave
South Bend, IN 46617-1924
Registry dates
- Enumerated
- 2014-07-15
- Last updated
- 2016-08-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.