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SOUTH BELOIT CLINIC
NPI 1346364718
Family Medicine in South Beloit, IL

Active since March 19, 2007CLIA 14D2168892 · Waiver
1701 BLACKHAWK BLVD, SOUTH BELOIT, IL 61080(608) 364-1348(608) 364-2338 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About South Beloit Clinic NPPES

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

SOUTH BELOIT CLINIC (NPI 1346364718) is a healthcare organization registered as a family medicine in South Beloit, Illinois and active in the NPI registry since March 2007. The organization holds a CLIA Waiver certificate valid through July 10, 2027 and lists Ruth Gray, Assistant Administrator, as its authorized official.

NPPES Registry Identity

NPI1346364718
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameBELOIT CLINIC, S.C.
Location Address1701 BLACKHAWK BLVDSouth Beloit, IL 61080-2407
Mailing Address1905 E Huebbe PkwyBeloit, WI 53511-1842 · (608) 364-1348 · Fax (608) 364-2338
Phone(608) 364-1348
Fax(608) 364-2338
Organization SubpartNo
Authorized OfficialRuth GrayAssistant Administrator · (608) 364-1348
Enumeration DateMarch 19, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1346364718 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1701 BLACKHAWK BLVD, South Beloit, IL 61080
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Other Names 1

Other NameSouth Beloit Clinic

Other Identifiers 1

Medicaid32069700WI

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 14D2168892

South Beloit Clinic · South Beloit, IL
Active · expires Jul 10, 2027
CLIA Number14D2168892
Laboratory TypePhysician Office
Certificate Effective DateJuly 11, 2025
Certificate Expiration DateJuly 10, 2027
Laboratory DirectorRoge Kapoor
Laboratory Phone(815) 389-2268
Laboratory LocationSouth Beloit Clinic1701 Blackhawk Blvd, South Beloit, IL 61080
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

DR. CHRISTINE STRANGE DO
Family Medicine
1701 BLACKHAWK BLVD
SOUTH BELOIT, IL 61080
Winnebago County (815) 389-2268

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 Beloit Clinic, S.C.'s NPI number?

The NPI number for Beloit Clinic, S.C. is 1346364718. It was assigned to this organization in the NPPES registry on March 19, 2007. The provider is also known as South Beloit Clinic.

Where is Beloit Clinic, S.C. located?

Beloit Clinic, S.C. is located at 1701 Blackhawk Blvd, South Beloit, IL 61080. The listed phone number is (608) 364-1348.

What is Beloit Clinic, S.C.'s specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Beloit Clinic, S.C. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D2168892) is associated with this NPI, valid through July 10, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Beloit Clinic, S.C. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.