# BELOIT HEALTH SYSTEM, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Beloit Health Orthopedic Walk In
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295413532
- **Authorized official:** JULIA C EGEBRECHT (DIRECTOR, REVENUE CYCLE)
- **Authorized official phone:** (608) 364-1615

## Contact information

- **Practice address:** 1650 LEE LN, BELOIT, WI 53511-3935
- **Practice address phone:** (608) 364-4666
- **Mailing address:** 1905 E HUEBBE PKWY, 5TH FLOOR, \#5023, BELOIT, WI 53511
- **Mailing address phone:** (608) 364-1615

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 204C00000X | Sports Medicine (Neuromusculoskeletal Medicine) Physician | — | NULL | — |
| 204C00000X | Sports Medicine (Neuromusculoskeletal Medicine) Physician | — | — | — |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | — |
| 207X00000X | Orthopaedic Surgery Physician | — | — | — |
| 2251X0800X | Orthopedic Physical Therapist | — | NULL | — |
| 2251X0800X | Orthopedic Physical Therapist | — | — | — |
| 261Q00000X | Clinic/Center | — | NULL | Yes |
| 261QU0200X | Urgent Care Clinic/Center | — | NULL | — |
| 305S00000X | Point of Service | — | NULL | — |
| 363A00000X | Physician Assistant | — | NULL | — |
| 363A00000X | Physician Assistant | — | — | — |
| 363LX0106X | Occupational Health Nurse Practitioner | — | NULL | — |
| 363LX0106X | Occupational Health Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 07/07/2023
- **Last updated:** 07/07/2023
