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GREAT HEALTH MEDICAL WI SC
NPI 1326854829
Clinic/Center - Primary Care in Beloit, WI

Active since December 09, 2024
1905 W HART RD, BELOIT, WI 53511(718) 470-0288 Get Directions Write a Review

NPPES record last updated: September 17, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 17, 2025, Dec 9, 2024 (2 updates tracked since 2024).

About Great Health Medical Wi Sc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GREAT HEALTH MEDICAL WI SC (NPI 1326854829) is a healthcare organization registered as a primary care in Beloit, Wisconsin and active in the NPI registry since December 2024. The organization lists Azlan Tariq, Owner, as its authorized official.

NPPES Registry Identity

NPI1326854829
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameGREAT HEALTH MEDICAL WI SC
Location Address1905 W HART RDBeloit, WI 53511-2230
Mailing Address407 Willoughby AveBrooklyn, NY 11205-4590
Phone(718) 470-0288
Organization SubpartNo
Authorized OfficialAzlan TariqOwner · (212) 734-6621
Enumeration DateDecember 9, 2024
Last NPPES UpdateSeptember 17, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 17, 2025
✔ NPI 1326854829 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
1905 W HART RD, Beloit, WI 53511
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. KATARINA DJURICA COTA
Occupational Therapy Assistant
1905 W HART RD
BELOIT, WI 53511
Rock County (608) 365-7500
PEGGY TEUBERT LPTA
Physical Therapy Assistant
1905 W HART RD
BELOIT, WI 53511
Rock County (608) 365-7500
RACHEL A SAUNDERS COTA
Occupational Therapy Assistant
1905 W HART RD
BELOIT, WI 53511
Rock County (608) 365-7500
MRS. JACALYN JOYCE COTA
Occupational Therapy Assistant
1905 W HART RD
BELOIT, WI 53511
Rock County (608) 365-7500
BELOIT OPERATIONS LLC
Skilled Nursing Facility
1905 W HART RD
BELOIT, WI 53511
Rock County (314) 662-6660
CHRISTIN J BRILLHART OTR
Occupational Therapist
1905 W HART RD
BELOIT, WI 53511
Rock County (608) 365-7500
AMY KEHL-WHITE PTA
Physical Therapy Assistant
1905 W HART RD
BELOIT, WI 53511
Rock County (608) 365-2554
MELINDA NEWTON P.T.
Physical Therapist
1905 W HART RD
BELOIT, WI 53511
Rock County (608) 365-7500

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Great Health Medical Wi Sc's NPI number?

The NPI number for Great Health Medical Wi Sc is 1326854829. It was assigned to this organization in the NPPES registry on December 9, 2024.

Where is Great Health Medical Wi Sc located?

Great Health Medical Wi Sc is located at 1905 W Hart Rd, Beloit, WI 53511. The listed phone number is (718) 470-0288.

What is Great Health Medical Wi Sc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Great Health Medical Wi Sc was last updated on September 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.