OrganizationActive
Great Health Medical Wi Sc
NPI 1326854829 · Primary Care Clinic/Center · Beloit, WI
Provider details
- NPI number
- 1326854829
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Azlan Tariq, Owner(212) 734-6621
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
1905 W Hart Rd
Beloit, WI 53511-2230
Phone: (718) 470-0288
Approximate (ZIP-level) locationGet directions
Mailing address
407 Willoughby Ave
Brooklyn, NY 11205-4590
Registry dates
- Enumerated
- 2024-12-09
- Last updated
- 2025-09-17
- Certified
- 2025-09-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.