BELOTI TREATMENT CENTER (NPI# 1861546228) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1861546228 |
Entity Type | Organization |
Organization Name | BELOTI TREATMENT CENTER |
Practice Address |
1517 E Huebbe Pkwy Ste E Beloit WI 53511-1795 |
Practice Telephone | 6083130524 |
Practice Fax Number | 6083130887 |
Mailing Telephone | 6083130524 |
Mailing Fax Number | 6083130887 |
Enumeration Date | 2007-01-23 |
Last Update Date | 2020-08-22 |
Authorized Official Name | DR. ERNESTO L. MARTIN (MEDICAL DIRECTOR) |
Authorized Official Telephone | 6083130524 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QM2800X |
Clinic/Center Specialization: Methadone Clinic |
2689 | WI | Ambulatory Health Care Facilities |
Street Address |
1517 E HUEBBE PKWY STE E |
City | BELOIT |
State | WI |
Zip Code | 53511-1795 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205987617 | Frank C. Kollins, D.c., S.c. | Chiropractor | 1517 E Huebbe Pkwy, Beloit, WI 53511-1795 | 2007-01-13 |
1174651863 | Glen Eric Pofahl | Counselor | 1517 E Huebbe Pkwy, Beloit, WI 53511-1795 | 2007-03-02 |
1184767535 | Julia A Licary | Licensed Practical Nurse | 1517 E Huebbe Pkwy, Beloit, WI 53511-1795 | 2007-02-15 |
1902949357 | Julie May Roethler | Registered Nurse | 1517 E Huebbe Pkwy, Beloit, WI 53511-1795 | 2007-02-15 |
1881737708 | Suzanne Helene Roe | Counselor | 1517 E Huebbe Pkwy, Beloit, WI 53511-1795 | 2007-02-14 |
1922140953 | Crc Health Group Inc. | Clinic/Center | 1517 E Huebbe Pkwy, Beloit, WI 53511-1795 | 2007-02-13 |
1063563963 | Frank Charles Kollins | Chiropractor | 1517 E Huebbe Pkwy, Beloit, WI 53511-1795 | 2007-01-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730738485 | Linda Lee Cook | Technician | 914 Cranston Rd., Beloit, WI 53511 | 2019-09-05 |
1033773734 | Holistic Counseling Services, LLC | Counselor | 1517 Huebbe Parkway, Ste A, Beloit, WI 53511 | 2019-04-28 |
1578073870 | Bonita May Cooke | Counselor | 838 Grant St., Beloit, WI 53511 | 2017-10-02 |
1679091219 | Stacy Lynn Gallagher | Licensed Practical Nurse | 1060 Bittel St, Beloit, WI 53511 | 2017-09-04 |
1629448824 | Brenda Jean Allen | Registered Nurse | 2907 E. Leona Drive, Beloit, WI 53511 | 2015-09-30 |
1033595038 | Amber Noel Slaybaugh | Physical Therapist | 838 E. Azalea Ter., Beloit, WI 53511 | 2015-08-03 |
1407260326 | Quirt Family Dentistry, Sc | Dentist | 2777 Milwaukee Rd, Beloit, WI 53511 | 2014-06-18 |
1821436973 | Raymond K Spade | Counselor | 2240 Prairie Ave., Beloit, WI 53511 | 2013-06-11 |
1629321658 | Sarah Ann Nelson | Physical Therapist | 1905 W. Hart Road, Beloit, WI 53511 | 2012-10-15 |
1235494212 | Mary Ann Hudson | Nurse Practitioner | 700 College Street, Beloit College, Beloit, WI 53511 | 2012-07-06 |
Find all providers in zip 53511 |
Taxonomy Code | 261QM2800X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Methadone Clinic |
An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356951321 | Premier Care of Wisconsin, LLC. | Clinic/Center | 1333 College Ave Ste M1, South Milwaukee, WI 53172-1150 | 2020-08-05 |
1013572353 | Addiction Services and Pharmacotherapy, Sc | Clinic/Center | 11390 W Theo Trekr Way, West Allis, WI 53214-1135 | 2019-05-02 |
1740767292 | Ansa Treatment Center Inc | Clinic/Center | 4111 N Port Washington Rd Ste 101a, Milwaukee, WI 53212-1029 | 2018-07-26 |
1265922660 | Addiction Services and Pharmacotherapy, Sc | Clinic/Center | 210 E Olin Ave, Madison, WI 53713-1434 | 2018-05-11 |
1003150004 | Ams of Wisconsin, LLC | Clinic/Center | 9532 E 16 Frontage Rd, Suite 100, Onalaska, WI 54650-6739 | 2012-11-15 |
1194992404 | Milwaukee Health Services System, LLC | Clinic/Center | 5109 World Dairy Dr, Madison, WI 53718-3807 | 2008-05-15 |
1780850594 | Milwaukee Health Services System, LLC | Clinic/Center | 3707 N Richards St, Milwaukee, WI 53212-1673 | 2008-05-01 |
1174798524 | Milwaukee Health Services System, LLC | Clinic/Center | 4800 S 10th St Unit 1, Milwaukee, WI 53221-2412 | 2008-04-28 |
1093912768 | C.o.r.e.,llc | Clinic/Center | 4555 W Schroeder Dr Ste 185, Brown Deer, WI 53223-1494 | 2007-06-27 |
1336247139 | Milwaukee Health Services System, LLC | Clinic/Center | 210 Washington St., Wausau, WI 54403-5475 | 2006-09-20 |
Find all providers with the same taxonomy |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.