BELOIT HEALTH SYSTEM, INC
NPI 1679379085
Internal Medicine in Beloit, WI
About Beloit Health System, Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BELOIT HEALTH SYSTEM, INC (NPI 1679379085), doing business as West Side Clinic - Bhs, is a healthcare organization registered as an internal medicine in Beloit, Wisconsin and active in the NPI registry since February 2025. The organization holds a CLIA Microscopy certificate valid through July 12, 2028 and lists Julia Egebrecht, Director, Revenue Cycle, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 5
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Other Names 1
Group Practice 1
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 52D2009773
- Facility Type
- Physician Office
- Certificate Effective Date
- July 13, 2026
- Certificate Expiration Date
- July 12, 2028
- Laboratory Director
- DR. STEPHEN R. RUDISILL
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Beloit Health System, Inc in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1679379085, enumerated as an "organization" on February 25, 2025.
The provider is located at 1735 MADISON ROAD BELOIT, WI 53511 and the phone number is (608) 363-7510.
Internal Medicine with taxonomy code 207R00000X.
