BEACON HEALTH VENTURES INC
Medical Equipment Supplier Yellow Pages
La Porte, Indiana
Provider NPI: 1992876627
Organization Information:Organization Name: BEACON HEALTH VENTURES INC
Practice Location:
900 I ST LA PORTE, IN 46350 US
Tel: 219-324-1775 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
900 I ST LA PORTE, IN 46350 US
Tel: 219-324-1775 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 332B00000X | Suppliers Durable Medical Equipment & Medical Supplies | IN | 69000135A |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
200253800A | IN | 05 | |
ANTHEM PROVIDER | 000000363708 | IN | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin