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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

BEACON MEDICAL GROUP, INC.

Active Organization

BEACON MEDICAL GROUP, INC. is a Family Medicine organization located in MISHAWAKA, Indiana. NPI 1033161617 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · MISHAWAKA, IN

Registration Details

NPI Number
1033161617
Provider Type
Organization
NPI Issued
May 16, 2006 (20.228082617036 yrs)
Last Updated
Feb 13, 2025
License
01058339A (IN)

Practice Information

Address
4630 VISTULA RD
MISHAWAKA, IN, 465444000
Browse IN providers · Browse ZIP 46544
Phone
5746471900
Fax
5742547222
Primary Specialty
Family Medicine
207Q00000X
Additional Specialty
Family Medicine
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.