BELOIT MEMORIAL HOSPITAL, INC (NPI# 1346362068) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346362068 |
| Entity Type | Organization |
| Organization Name | BELOIT MEMORIAL HOSPITAL, INC |
| Other Organization Name | OCCUPATIONAL HEALTH AND WELLNESS |
| Practice Address |
1650 Lee Ln Beloit WI 53511-3935 |
| Practice Telephone | 6083644666 |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DEBORAH JB GUSTAFSON (MANAGER PATIENT ACCOUNTS) |
| Authorized Official Telephone | 6083645123 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QX0100X |
Clinic/Center Specialization: Occupational Medicine |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| OCCUPATIONAL HEALTH AND WELLNESS | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194918490 | Beloit Memorial Hospital, Inc | General Practice | 5605 E Rockton Rd, Roscoe, IL 61073-7601 | 2007-08-21 |
| Street Address |
1650 LEE LN |
| City | BELOIT |
| State | WI |
| Zip Code | 53511-3935 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326172149 | Mark Alan Tudor | Specialist/Technologist | 1650 Lee Ln, Beloit, WI 53511-3935 | 2007-03-15 |
| 1265955025 | Thinh B Truong | Physical Therapist | 1650 Lee Ln, Beloit, WI 53511-3935 | 2017-07-24 |
| 1871952945 | Justin D. Johnson | Occupational Therapist | 1650 Lee Ln, Occupational Health and Sports & Family Medicine Center, Beloit, WI 53511-3935 | 2016-02-18 |
| 1497161491 | Tara Holycross | Specialist/Technologist | 1650 Lee Ln, Beloit, WI 53511-3935 | 2014-07-10 |
| 1124376892 | Nathaniel S Bothfeld | Physical Therapist | 1650 Lee Ln, Occupation Health Ports & Family Medicine Center, Beloit, WI 53511-3935 | 2012-08-28 |
| 1912199340 | Beloit Health System, Inc | Internal Medicine | 1650 Lee Ln, Beloit, WI 53511-3935 | 2007-08-09 |
| 1437274115 | Beloit Clinic, S.c. | Preventive Medicine | 1650 Lee Ln, Beloit, WI 53511-3935 | 2007-03-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730738485 | Linda Lee Cook | Technician | 914 Cranston Rd., Beloit, WI 53511 | 2019-09-05 |
| 1033773734 | Holistic Counseling Services, LLC | Counselor | 1517 Huebbe Parkway, Ste A, Beloit, WI 53511 | 2019-04-28 |
| 1578073870 | Bonita May Cooke | Counselor | 838 Grant St., Beloit, WI 53511 | 2017-10-02 |
| 1679091219 | Stacy Lynn Gallagher | Licensed Practical Nurse | 1060 Bittel St, Beloit, WI 53511 | 2017-09-04 |
| 1629448824 | Brenda Jean Allen | Registered Nurse | 2907 E. Leona Drive, Beloit, WI 53511 | 2015-09-30 |
| 1033595038 | Amber Noel Slaybaugh | Physical Therapist | 838 E. Azalea Ter., Beloit, WI 53511 | 2015-08-03 |
| 1407260326 | Quirt Family Dentistry, Sc | Dentist | 2777 Milwaukee Rd, Beloit, WI 53511 | 2014-06-18 |
| 1821436973 | Raymond K Spade | Counselor | 2240 Prairie Ave., Beloit, WI 53511 | 2013-06-11 |
| 1629321658 | Sarah Ann Nelson | Physical Therapist | 1905 W. Hart Road, Beloit, WI 53511 | 2012-10-15 |
| 1235494212 | Mary Ann Hudson | Nurse Practitioner | 700 College Street, Beloit College, Beloit, WI 53511 | 2012-07-06 |
| Find all providers in zip 53511 | ||||
| Taxonomy Code | 261QX0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Occupational Medicine |
| Definition to come... |
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| 1225433949 | A. Grbich LLC | Clinic/Center | N48w14336 Hampton Ave, Suite 200, Menomonee Falls, WI 53051-6909 | 2014-10-23 |
| 1013351899 | Deerfield Care Cener, LLC | Clinic/Center | 575 Hospital Road, New Richmond, WI 54017 | 2013-04-23 |
| 1154646230 | Saints Health Services for Business | Clinic/Center | 133 S 16th Pl, Sturgeon Bay, WI 54235-1454 | 2010-04-01 |
| 1366520504 | Occupational Health Centers of The Southwest, P.a. | Clinic/Center | 1147 Warwick Way, Racine, WI 53406-5661 | 2006-11-02 |
| 1255386454 | Vita Physical Therapy Sc | Clinic/Center | 451 E Erie St, Milwaukee, WI 53202-6159 | 2006-05-24 |
| 1710480363 | Occupational Health Centers of The Southwest Pa | Clinic/Center | 875 W Layton Ave, Milwaukee, WI 53221-2426 | 2018-03-09 |
| 1649689316 | Group Health Cooperative of South Central Wisconsin | Clinic/Center | 1265 John Q Hammons Dr, Madison, WI 53717-1921 | 2014-08-07 |
| 1457694341 | Occupational Health Centers of The Southwest, Pa | Clinic/Center | 5500 West Brown Deer Road, Suite 400, Milwaukee, WI 53223-2265 | 2013-03-29 |
| 1548569692 | Stay Strong Therapies LLC | Clinic/Center | 21140 W Capitol Dr, Suite 4, Brookfield, WI 53072-2953 | 2011-03-15 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.