# BEACON MEDICAL GROUP, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Med Point Urgent Care Center at CR 6
- **Organization subpart:** No

## Provider details

- **NPI number:** 1710329008
- **Authorized official:** JEFFREY P. COSTELLO (CFO)
- **Authorized official phone:** (574) 647-3549

## Contact information

- **Practice address:** 3301 COUNTY ROAD 6 E, ELKHART, IN 46514-7673
- **Practice address phone:** (574) 266-5342
- **Practice address fax:** (574) 266-5847
- **Mailing address:** 3301 COUNTY ROAD 6 E, ELKHART, IN 46514-7673

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 01054569A | IN | Yes |

## Other

- **Enumeration date:** 07/27/2013
- **Last updated:** 09/24/2013