Primary Source Verification Search

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We are pleased to provide this online primary source verification service to other hospitals, healthcare organizations and credentialing agents. It is not intended for use by patients or other visitors.  Please only utilize this service if you have a signed consent for release of information from your practitioner.  If you have any questions please contact the following people:

Memorial Hospital-Pam Hall phall@beaconhealthsystem.org 574-647-7188

Elkhart General Hospital-Kim Mansell kmansell@beaconhealthsystem.org 574-523-3205

Enter all or part of the physician's last name, complete and submit the form. Results will appear and can be printed as a credentialing verification letter.
Practitioner Last Name:
Birth date:
Last 4 digits of SSN:
Last 4 digits of NPI:
Select facility:
Your Name:
Your Title:
Your Organization:
Verification Results