Organization
BEACON HEALTH VENTURES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY COSTELLO (CFO)
(574) 647-3460
Entity
Organization
Contact information
Practice address
3221 MAGNUM DR, ELKHART, IN 46516-9021
(574) 389-2650
Mailing address
3221 MAGNUM DR, ELKHART, IN 46516-9021
(574) 389-2650
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
01/28/2026
Last updated
01/28/2026
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