BELLIN MEMORIAL HOSPITAL INC NPI 1033172390

NPI Information

NPI: 1033172390
Provider Name: BELLIN MEMORIAL HOSPITAL INC

Doing Business As: BELLIN HEALTH

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

Address:
1580 COMMANCHE AVE STE 102
GREEN BAY, WI
ZIP 54313
Phone: (920) 435-8326
Get Directions

BELLIN MEMORIAL HOSPITAL INC is a family medicine in Green Bay, WI. The provider is 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. BELLIN MEMORIAL HOSPITAL INC NPI is 1033172390. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Bellin Health.

The provider's business location address is:

1580 COMMANCHE AVE STE 102
GREEN BAY, WI
ZIP 54313-751
Phone: (920) 435-8326
Fax: (920) 430-4659

The provider's authorized official is Denise K Stroobants .
The authorized official title is Credentialing Specialist and has the following contact phone number (920) 433-7864.

The CLIA number assigned to this NPI record is 52D0394632 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 4/8/2006 and was last updated on 2/1/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	207R00000X	Internal Medicine		No
2	207RC0000X	Internal Medicine	Cardiovascular Disease	No
3	207RC0001X	Internal Medicine	Clinical Cardiac Electrophysiology	No
4	207RE0101X	Internal Medicine	Endocrinology, Diabetes & Metabolism	No
5	207RG0100X	Internal Medicine	Gastroenterology	No
6	207V00000X	Obstetrics & Gynecology		No
7	207VX0201X	Obstetrics & Gynecology	Gynecologic Oncology	No
8	207X00000X	Orthopaedic Surgery		No
9	207Y00000X	Otolaryngology		No
10	208000000X	Pediatrics		No
11	2085R0202X	Radiology	Diagnostic Radiology	No
12	225100000X	Physical Therapist		No
13	225X00000X	Occupational Therapist		No
14	367500000X	Nurse Anesthetist, Certified Registered		No
15	207Q00000X	Family Medicine		Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	243966	OTHER		US DEPARTMENT OF HEALTH AND HUMAN SERVICES FDA MAMMOGRAPHY CERTIFICATION
2	0P38340	OTHER	MICHIGAN	MI MEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »