NPIMap

Organization Active NPI

CRC Health Group Inc.

Doing business as Beloit treamnet Center

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Beloit, WI
National Provider Identifier
1922140953
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy code 261QR0401X
Legal business name
CRC HEALTH GROUP INC.
Doing business as
Beloit treamnet Center
Practice address
1517 E Huebbe Pkwy
Beloit, WI 53511-1795
Phone
(608) 331-0524
Fax
(608) 313-0887
NPI assigned
Feb 13, 2007
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mr. Glen Eric Pofahl, 11121132
Title
Csac
Phone
(608) 331-0524

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Comprehensive Outpatient Rehabilitation Facility (CORF) 261QR0401X WI Primary

Addresses

Primary practice location

1517 E Huebbe Pkwy
Beloit, WI 53511-1795

Mailing address

929 Suffolk Dr
Janesville, WI 53546-1821
Phone (608) 756-3546

Other names 1

  • Beloit treamnet Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Esolutions Inc27 organizations share this tax ID, including this one

Other organizations with this tax ID 26

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

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1922140953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "929 SUFFOLK DR",
            "city": "JANESVILLE",
            "state": "WI",
            "postal_code": "535461821",
            "telephone_number": "608-756-3546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1517 E HUEBBE PKWY",
            "city": "BELOIT",
            "state": "WI",
            "postal_code": "535111795",
            "telephone_number": "608-331-0524",
            "fax_number": "608-313-0887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRC HEALTH GROUP INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-13",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "POFAHL",
        "authorized_official_first_name": "GLEN",
        "authorized_official_middle_name": "ERIC",
        "authorized_official_title_or_position": "CSAC",
        "authorized_official_telephone_number": "608-331-0524",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "11121132"
    },
    "taxonomies": [
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": "WI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Beloit treamnet Center",
            "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 21, 2022; 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.