NPIMap

Organization Active NPI

Beloit Health System, Inc.

Doing business as Beloit Health Orthopedic Walk In

  • Clinic/Center
  • Beloit, WI
National Provider Identifier
1295413532
Registry record updated Jul 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
BELOIT HEALTH SYSTEM, INC.
Doing business as
Beloit Health Orthopedic Walk In
Practice address
1650 Lee LN
Beloit, WI 53511-3935
Phone
(608) 364-4666
NPI assigned
Jul 7, 2023
Last updated
Jul 7, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Julia C Egebrecht
Title
Director, Revenue Cycle
Phone
(608) 364-1615

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Neuromusculoskeletal Medicine) Physician 204C00000X
Orthopaedic Surgery Physician 207X00000X
Orthopedic Physical Therapist 2251X0800X
Clinic/Center 261Q00000X Primary
Urgent Care Clinic/Center 261QU0200X
Point of Service 305S00000X
Physician Assistant 363A00000X
Occupational Health Nurse Practitioner 363LX0106X

Addresses

Primary practice location

1650 Lee LN
Beloit, WI 53511-3935

Mailing address

1905 E Huebbe Pkwy
5TH Floor, #5023
Beloit, WI 53511
Phone (608) 364-1615

Other names 1

  • Beloit Health Orthopedic Walk In Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Beliot Memorial Hospita15 organizations share this tax ID, including this one

Other organizations with this tax ID 14

Organizations that report the same tax identification number in the National Provider Directory.

View all 14

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1688688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688688000000",
    "number": "1295413532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1905 E HUEBBE PKWY",
            "address_2": "5TH FLOOR, #5023",
            "city": "BELOIT",
            "state": "WI",
            "postal_code": "53511",
            "telephone_number": "608-364-1615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 LEE LN",
            "city": "BELOIT",
            "state": "WI",
            "postal_code": "535113935",
            "telephone_number": "608-364-4666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELOIT HEALTH SYSTEM, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-07",
        "last_updated": "2023-07-07",
        "certification_date": "2023-07-07",
        "status": "A",
        "authorized_official_last_name": "EGEBRECHT",
        "authorized_official_first_name": "JULIA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "DIRECTOR, REVENUE CYCLE",
        "authorized_official_telephone_number": "608-364-1615"
    },
    "taxonomies": [
        {
            "code": "204C00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine, Sports Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LX0106X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Occupational Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Beloit Health Orthopedic Walk In",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Beloit, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.