Organization
BELOIT HEALTH SYSTEM INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES F BIRD MBS, CPA (VICE PRESIDENT OF FINANCE/CFO)
(608) 364-5281
Entity
Organization
Contact information
Practice address
5605 E ROCKTON RD, ROSCOE, IL 61073-7601
(815) 525-4000
Mailing address
1905 E HUEBBE PKWY FL 5, BELOIT, WI 53511-1842
(608) 364-1615
Taxonomy
Speciality
Code
Description
License number
State
207WX0108X
Uveitis and Ocular Inflammatory Disease (Ophthalmology) Physician
—
—
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
261QE0800X
Endoscopy Clinic/Center
—
—
261QP1100X
Podiatric Clinic/Center
—
—
261QP3300X
Pain Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
11014000
—
WI
05
—
391028081003
—
IL
Enumeration date
06/16/2021
Last updated
07/07/2023
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