Beloit Clinic, S.C.

Primary specialty

Occupational Medicine PhysicianTaxonomy code 2083X0100X

License

32834 Issued in WI

Legal business name

BELOIT CLINIC, S.C.

Practice address

1650 Lee LN
Beloit, WI 53511-3935

Phone

(608) 364-1348

Fax

(608) 364-2338

NPI assigned

Mar 20, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ruth Gray

Title

Assistant Administrator

Phone

(608) 364-1348

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Occupational Health Other name

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Beloit Circle SC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

• Beloit Clinic, S.C.

  • Family Medicine Physician
  • Beloit, WI
  • NPI 1518082973
  NPD tax ID
• Beloit Cliniic, S.C.

  • Family Medicine Physician
  • Clinton, WI
  • NPI 1235253691
  NPD tax ID
• Beloit Clinic SC

  • Internal Medicine Physician
  • Roscoe, IL
  • NPI 1497879878
  NPD tax ID

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1437274115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1905 E HUEBBE PKWY",
            "city": "BELOIT",
            "state": "WI",
            "postal_code": "535111842",
            "telephone_number": "608-364-1348",
            "fax_number": "608-364-2338"
        },
        {
            "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": "608-364-1348",
            "fax_number": "608-364-2338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELOIT CLINIC, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GRAY",
        "authorized_official_first_name": "RUTH",
        "authorized_official_title_or_position": "ASSISTANT ADMINISTRATOR",
        "authorized_official_telephone_number": "608-364-1348"
    },
    "taxonomies": [
        {
            "code": "2083X0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "WI",
            "license": "32834",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32808500",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Occupational Health",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Shanleigh Bechard
• Melissa L Beckford, MS
• Kari E. Bell
• Beloit Care LLC (Beloit Health & Rehabilitation Center)
• Beloit Chiropractic, LLC
• Beloit Clinic, S.C.
• Beloit Clinic, S.C.
• Beloit College
• Beloit Family Eye Care S.C.
• Beloit Health System Inc

• Occupational Medicine Physician in Beloit, WI
• Providers in Beloit, WI by specialty
• Occupational Medicine Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.