# BELOIT HEALTH SYSTEM, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** West Side Clinic - BHS
- **Organization subpart:** No

## Provider details

- **NPI number:** 1679379085
- **Authorized official:** JULIA EGEBRECHT (DIRECTOR, REVENUE CYCLE)
- **Authorized official phone:** (608) 364-1615

## Contact information

- **Practice address:** 1735 MADISON ROAD, BELOIT, WI 53511
- **Practice address phone:** (608) 363-7510
- **Practice address fax:** (608) 363-7528
- **Mailing address:** 1905 E HUEBBE PKWY, BELOIT, WI 53511
- **Mailing address phone:** (608) 364-1615

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |
| 208000000X | Pediatrics Physician | — | NULL | — |
| 208000000X | Pediatrics Physician | — | — | — |
| 208D00000X | General Practice Physician | — | NULL | — |
| 208D00000X | General Practice Physician | — | — | — |
| 261QR0200X | Radiology Clinic/Center | — | NULL | — |
| 291U00000X | Clinical Medical Laboratory | — | NULL | — |

## Other

- **Enumeration date:** 02/25/2025
- **Last updated:** 02/25/2025