# BEACON MEDICAL, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316381155
- **Authorized official:** SARAH B STEELE B.A. (DIRECTOR OF BILLING)
- **Authorized official phone:** (814) 943-1272

## Contact information

- **Practice address:** 136 JAYCEE DR, SUITE 10, JOHNSTOWN, PA 15904-3650
- **Practice address phone:** (814) 467-4055
- **Practice address fax:** (814) 262-8161
- **Mailing address:** 300 E WALNUT AVE, ALTOONA, PA 16601-5210
- **Mailing address phone:** (814) 943-1272
- **Mailing address fax:** (814) 940-8516

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | MD044867E | PA | Yes |

## Other

- **Enumeration date:** 04/23/2013
- **Last updated:** 04/25/2013
