| Beacon Health Ventures Inc | |
|
9801 80th Ave Pleasant Prairie WI 53158-2221 | |
| (262) 947-0385 | |
| Not Available |
| Full Name | Beacon Health Ventures Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 9801 80th Ave, Pleasant Prairie, Wisconsin |
| Authorized Official Name and Position | Jeffrey Costello (CFO) |
| Authorized Official Contact | 5746473460 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Beacon Health Ventures Inc 9801 80th Ave Pleasant Prairie WI 53158-2221 Ph: (262) 947-0385 | Beacon Health Ventures Inc 9801 80th Ave Pleasant Prairie WI 53158-2221 Ph: (262) 947-0385 |
| NPI Number | 1932058203 |
|---|---|
| Provider Enumeration Date | 01/28/2026 |
| Last Update Date | 01/28/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932058203 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |