Organization
BEACON OCCUPATIONAL HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY COSTELLO (CFO)
(574) 647-3460
Entity
Organization
Contact information
Practice address
22818 OLD US 20, ELKHART, IN 46516-9150
(574) 389-1231
(574) 389-1232
Mailing address
3245 HEALTH DR STE 100, GRANGER, IN 46530-1380
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
03/09/2007
Last updated
01/23/2026
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