NPI 1790353753 · live from the CMS NPI Registry
Beloit Health System INC
Clinic/Center, Ambulatory Surgical in Roscoe, IL. National Provider Identifier 1790353753, active.
NPI record
| NPI | 1790353753 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Clinic/Center, Ambulatory Surgical 261QA1903X |
| Practice location | 5605 E Rockton Rd, Roscoe, IL 61073 |
| Practice phone | 815-525-4000 |
| Mailing address | 1905 E Huebbe Pkwy Fl 5, Beloit, WI 53511 |
| Enumerated | June 16, 2021 |
| Last updated | July 7, 2023 |
| Authorized official | James Bird, Vice President Of Finance/Cfo |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ophthalmology, Uveitis and Ocular Inflammatory Disease | 207WX0108X | — |
| Clinic/Center, Endoscopy | 261QE0800X | — |
| Clinic/Center, Podiatric | 261QP1100X | — |
| Clinic/Center, Pain | 261QP3300X | — |
| Clinic/Center, Ambulatory Surgical primary | 261QA1903X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.