Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Stateline Family Young Men's Christian Association, Inc

Organization Health Educator · NPI 1578012936

Stateline Family Young Men's Christian Association, Inc provides Health Educator services in Beloit, Wisconsin. Registered with an NPI since 2016.

In the registry since
2016
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1865 Riverside Dr
Beloit, WI 53511-3521 Not confirmed with CMS for 10 years — call before visiting
Phone: (608) 365-2261
Fax: (608) 365-7091
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Health Educator (primary) Taxonomy 174H00000X

Record details

NPI number1578012936
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Doug Britt — Ceo/Executive Director · (608) 365-2261
NPI enumeratedSeptember 27, 2016
Last updated in NPPESSeptember 27, 2016
Mailing address1865 Riverside Dr, Beloit, WI 53511-3521

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