BELLIN MEMORIAL HOSPITAL INC NPI 1346293941

NPI Information

NPI: 1346293941
Provider Name: BELLIN MEMORIAL HOSPITAL INC

Doing Business As: FMC BELLIN HEALTH FAST CARE GREEN BAY EAST

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
1976 LIME KILN RD
GREEN BAY, WI
ZIP 54311
Phone: (920) 406-9865
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 1346293941. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Fmc Bellin Health Fast Care Green Bay East.

The provider's business location address is:

1976 LIME KILN RD
GREEN BAY, WI
ZIP 54311-417
Phone: (920) 406-9865
Fax: (920) 406-9867

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 enumeration date for this NPI number is 5/18/2006 and was last updated on 10/18/2021.

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	License Number	License State	Primary
1	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	52D1054543	OTHER	WISCONSIN	CLIA WAIVER
2	1033172390	MEDICAID	WISCONSIN

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

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