Organization
BEACON HEALTH VENTURES, INC
Active
Other names
Beacon HC Pharm SB
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREG CONRAD (VICE PRESIDENT)
(574) 647-8777
Entity
Organization
Contact information
Practice address
3355 DOUGLAS RD, SOUTH BEND, IN 46635
(574) 647-2273
Mailing address
3355 DOUGLAS RD, SUITE 400, SOUTH BEND, IN 46635-1781
(574) 647-2273
(574) 647-8764
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0004X
Compounding Pharmacy
—
IN
3336H0001X
Home Infusion Therapy Pharmacy
Primary
60004143A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000097412
ANTHEM
—
05
—
100301140A
—
IN
Enumeration date
10/01/2013
Last updated
06/17/2016
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us