NPIMap

Organization Active NPI

Community Health Systems, Inc.

Doing business as Beloit Area Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Beloit, WI
National Provider Identifier
1750390670
Registry record updated Oct 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
COMMUNITY HEALTH SYSTEMS, INC.
Doing business as
Beloit Area Community Health Center
Practice address
74 Eclipse Ctr
Beloit, WI 53511-3550
Phone
(608) 361-0311
Fax
(608) 361-6131
NPI assigned
Aug 7, 2006
Last updated
Oct 13, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
COMMUNITY HEALTH SYSTEMS, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 13, 2025

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

Authorized official

Name
Dr. Anne Fridh, PHYSD
Title
Ceo
Phone
(815) 968-9300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X NU Primary

Addresses

Primary practice location

74 Eclipse Ctr
Beloit, WI 53511-3550

Mailing address

74 Eclipse Ctr
Beloit, WI 53511-3550
Phone (608) 361-0311

Other identifiers 3

IdentifierTypeStateIssuer
42216400MedicaidWI
000054100OtherWIMEDICARE PART A
32956700MedicaidWI

Other names 1

  • Beloit Area Community Health Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040402000368 WI Part B Supplier - Clinic/Group Practice 3678565116 Receives reassigned benefits from 11 practitioners
2 other NPIs on this enrollment
Practice locations: Beloit, WI; Janesville, WI; Madison, WI; Verona, WI
O20080514000417 WI Part A Provider - Federally Qualified Health Center (FQHC) 3678565116 Practice locations: Beloit, WI

NPI to CCN mapping 2

The Medicare certification numbers (CCNs) connected to NPI 1750390670. Details of each certification follow.

Federally qualified health center certification: CCN 521822

Legal name
COMMUNITY HEALTH SYSTEMS INC
Doing business as
COMMUNITY HEALTH SYSTEMS
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jul 9, 2002
Last certification
Jul 9, 2002
Ownership / control type
Non-profit – church related
Organization structure
CorporationNon-profit
Incorporated
Sep 3, 1997 in WI
Enrollment address
74 Eclipse Ctr
Beloit, WI 53511-3550

Federally qualified health center certification: CCN 521837

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
BELOIT AREA COMMUNITY HLTH CTR - BEHAVIORAL HLTH
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Feb 18, 2010
Last certification
Feb 18, 2010
Ownership / control type
Non-profit – church related
Facility address
74 Eclipse Center
Beloit, WI 53511

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
52D0955267Beloit Area Community Health Center74 Eclipse Ctr, Beloit, WI 53511Certificate of waiverDec 21, 2026

National Provider Directory

National Provider Directory
Part of
Community Health Systems Inc

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

74 Eclipse Ctr
Beloit, WI 53511
Phone (608) 361-0311

Ownership & related parties

All disclosed owners & managing parties 10

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Stephen W Smith Individual Corporate DirectorCeo Mar 28, 2022
W-2 Managing EmployeeCeo Mar 28, 2022
Ruth Gray Individual Corporate Officer Jan 1, 2015
Jeremy Brown Individual Corporate DirectorDirector Aug 1, 2019
Kristin Loehr Individual Corporate Officer Jan 1, 2015
Brett Grant Individual Corporate DirectorDirector Jul 1, 2021
Cecilia Gillhouse Individual Corporate Director Feb 1, 2021
Patrick Kuelz Individual Corporate Officer Jan 1, 2015
Doris Mulder Individual Corporate Officer Jan 1, 2015
Eugenia Isunza Individual Corporate DirectorDirector Oct 1, 2019
Daniel Barolsky Individual Corporate DirectorDirector Aug 1, 2021

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 20

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1154908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760313600000",
    "number": "1750390670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "74 ECLIPSE CTR",
            "city": "BELOIT",
            "state": "WI",
            "postal_code": "535113550",
            "telephone_number": "608-361-0311",
            "fax_number": "608-361-6131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "74 ECLIPSE CTR",
            "city": "BELOIT",
            "state": "WI",
            "postal_code": "535113550",
            "telephone_number": "608-361-0311",
            "fax_number": "608-361-6131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY HEALTH SYSTEMS, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COMMUNITY HEALTH SYSTEMS, INC.",
        "enumeration_date": "2006-08-07",
        "last_updated": "2025-10-13",
        "certification_date": "2025-10-13",
        "status": "A",
        "authorized_official_last_name": "FRIDH",
        "authorized_official_first_name": "ANNE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "815-968-9300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHYSD"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "42216400",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PART A",
            "identifier": "000054100",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32956700",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Beloit Area Community Health Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Beloit Area Community Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Beloit, WI

Sources for this page

Verify at the official NPI Registry.