Organization
BEACON MEDICAL GROUP, INC.
Active
Other names
MedPoint Urgent Care
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY PETER COSTELLO (CFO)
(574) 647-3460
Entity
Organization
Contact information
Practice address
6913 N MAIN ST, GRANGER, IN 46530-8039
(574) 647-1550
(574) 243-4306
Mailing address
710 N NILES AVE, SOUTH BEND, IN 46617-1924
(574) 647-1060
(574) 237-6069
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Enumeration date
01/10/2019
Last updated
03/20/2024
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