# BEACON HEALTH VENTURES INC

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

## Provider details

- **NPI number:** 1720996150
- **Authorized official:** JEFFREY COSTELLO (CFO)
- **Authorized official phone:** (574) 647-3460

## Contact information

- **Practice address:** 28070 CR 24 W, ELKHART, IN 46517
- **Practice address phone:** (574) 970-9229
- **Mailing address:** 28070 CR 24 W, ELKHART, IN 46517
- **Mailing address phone:** (574) 970-9229

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/28/2026
- **Last updated:** 08/28/2026