South Beloit Clinic

LBN: Beloit Clinic, S.C.
South Beloit Clinic is an health care organization with primary practice located at 1701 Blackhawk Blvd , South Beloit IL 61080-2407. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Beloit Clinic, S.C. can be contacted via phone (608) 364-1348, or through Gray, Ruth via phone (608) 364-1348.

Contact Information

Primary practice address
1701 Blackhawk Blvd South Beloit IL 61080-2407
Phone: (608) 364-1348
Fax: (608) 364-2338
Website:
Map and Directions
Authorized official contact:
Name: Gray, Ruth
Phone: (608) 364-1348

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X Wisconsin

Profile Details

NPI number 1346364718
LBN Legal business name Beloit Clinic, S.C.
DBA Doing business as South Beloit Clinic
Authorized official Gray, Ruth
Entity Organization
Organization subpart 1 No
Enumeration date Mar 19th, 2007
Last updated Aug 22nd, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1346364718 NPPES
Wisconsin MEDICAID 32069700

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