# BELOIT CLINIIC, S.C.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Clinton Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235253691
- **Authorized official:** RUTH GRAY (ASSISTANT ADMINISTRATOR)
- **Authorized official phone:** (608) 364-1348

## Contact information

- **Practice address:** 307 OGDEN AVE, CLINTON, WI 53525-9007
- **Practice address phone:** (608) 364-1348
- **Practice address fax:** (608) 364-2338
- **Mailing address:** 1905 E HUEBBE PKWY, BELOIT, WI 53511-1842
- **Mailing address phone:** (608) 364-1348
- **Mailing address fax:** (608) 364-2338

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | WI | Yes |

## Other

- **Enumeration date:** 03/19/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 32808500 | — | WI |