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General NPI Number Information
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NPI Number | 1285430603
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Entity Type | Organization
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Legal Business Name | BELOIT HEALTH SYSTEM, INC
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Dates
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Enumeration Date | 02/25/2025
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Last Update Date | 02/25/2025
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Provider Practice Location Address
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Address Line | 1670 LEE LANE
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City | BELOIT
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State | WI
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Zip | 53511-3935
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Country | US
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Telephone | 608-364-5253
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Fax | 608-364-5252
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Provider Business Mailing Address
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Address Line | 1905 E HUEBBE PKWY
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City | BELOIT
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State | WI
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Zip | 53511
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Country | US
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Telephone | 608-364-1615
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Fax |
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Authorized Official
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Title or Position | DIRECTOR, REVENUE CYCLE
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Name | JULIA EGEBRECHT
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Credential |
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Telephone | 608-364-1615
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 261QI0500X
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Taxonomy Name | Infusion Therapy Clinic/Center
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 261QR0200X
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Taxonomy Name | Radiology Clinic/Center
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 261QX0200X
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Taxonomy Name | Oncology Clinic/Center
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 261QX0203X
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Taxonomy Name | Radiation Oncology Clinic/Center
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number |
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License Number State |
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Taxonomy #9
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number |
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License Number State |
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