BELLIN MEMORIAL HOSPITAL INC (NPI# 1497191951) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1497191951 |
Entity Type | Organization |
Organization Name | BELLIN MEMORIAL HOSPITAL INC |
Other Organization Name | BELLIN HEALTH GENERATIONS |
Practice Address |
720 S Vanburen St Suite 101 Green Bay WI 54301-3534 |
Mailing Address |
Po Box 22487 Green Bay WI 54305-2487 |
Practice Telephone | 9204683444 |
Practice Fax Number | 9204326313 |
Mailing Telephone | 9204457210 |
Mailing Fax Number | 9204457289 |
Enumeration Date | 2013-05-10 |
Last Update Date | 2020-01-06 |
Authorized Official Name | DENISE K STROOBANTS (CREDENTIALING SPECIALIST) |
Authorized Official Telephone | 9204457226 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WI | CLIA # | 52D0394921 | 01 |
Other Name | Type Code |
---|---|
Bellin Health Generations | Doing Business As Name - Organization |
Address | Telephone Number | Fax Number |
---|---|---|
107 E Highland Dr, Oconto Falls, WI 541541002 | 9204683444 | 9208468313 |
1688 N Casaloma Dr, Appleton, WI 549138245 | 9207075105 | 9203386869 |
2641 Development Dr, Green Bay, WI 543114240 | 9203386868 | 9203386869 |
311 N 3rd Ave, Sturgeon Bay, WI 542352401 | 9204683444 | 9204326313 |
3263 Eaton Rd, Green Bay, WI 543116830 | 9204336700 | 9204336779 |
704 S Webster Ave, Green Bay, WI 543013528 | 9203386868 | 9203386869 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114563707 | Bellin Memorial Hospital Inc | Clinic/Center | 1241 Lombardi Access Rd Ste H, Green Bay, WI 54304-4059 | 2019-11-19 |
1003202631 | Bellin Memorial Hospital Inc | Orthopaedic Surgery | 218 So Hwy 141, Crivitz, WI 54114-1636 | 2015-04-10 |
1174890024 | Bellin Memorial Hospital Inc | Nurse Practitioner | 229 N 14th Ave, Sturgeon Bay, WI 54235-1317 | 2011-11-21 |
1003107723 | Bellin Memorial Hospital Inc | Clinic/Center | 3100 Ams Blvd, Ste C, Green Bay, WI 54313-9700 | 2011-04-28 |
1710130216 | Bellin Memorial Hospital Inc | Internal Medicine | 208 East Reed Street, Suite B, Manitowoc, WI 54220-2121 | 2008-10-28 |
1699926964 | Bellin Memorial Hospital Inc | Internal Medicine | 820 Arbutus Ave Ste P, Oconto, WI 54153-2004 | 2008-10-06 |
1104022128 | Bellin Memorial Hospital Inc | Family Medicine | 704 S Webster Ave Ste 201, Green Bay, WI 54301-3528 | 2007-06-26 |
1376649509 | Bellin Memorial Hospital Inc | Internal Medicine | 1328 Us Hwy 2, Crystal Falls, MI 49920 | 2006-09-15 |
1346293941 | Bellin Memorial Hospital Inc | Family Medicine | 1976 Lime Kiln Rd, Green Bay, WI 54311-4417 | 2006-05-18 |
1073566725 | Bellin Memorial Hospital Inc | Family Medicine | 2015 Shawano Ave, Green Bay, WI 54303-2606 | 2006-05-17 |
Street Address |
720 S VANBUREN ST SUITE 101 |
City | GREEN BAY |
State | WI |
Zip Code | 54301-3534 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083682876 | Cheryl L Bailey | Obstetrics & Gynecology | 720 S Vanburen St, Suite 101, Green Bay, WI 54301-3504 | 2006-03-09 |
1174168710 | Renee R Smith | Advanced Practice Midwife | 720 S Vanburen St, Suite 101, Green Bay, WI 54301-3504 | 2019-11-07 |
1366908923 | Dean Patrick Weycker | Nurse Practitioner | 720 S Vanburen St, Suite 303, Green Bay, WI 54301 | 2019-02-19 |
1710481742 | Rachel A Beck | Registered Nurse | 720 S Vanburen St, Suite 101, Green Bay, WI 54301 | 2018-03-23 |
1063922268 | Shirley M Jean-baptiste | Registered Nurse | 720 S Vanburen St, Green Bay, WI 54301-3534 | 2017-10-03 |
1225587512 | Sandra Renee Pelnar | Nurse Practitioner | 720 S Vanburen St, Suite 101, Green Bay, WI 54301 | 2016-09-27 |
1285181818 | Jennifer Lynn Cumicek | Nurse Practitioner | 720 S Vanburen St, Suite 201, Green Bay, WI 54301-3534 | 2016-09-01 |
1902210925 | Ryan D Kuefler | Obstetrics & Gynecology | 720 S Vanburen St, Green Bay, WI 54301-3504 | 2014-06-18 |
1679983183 | Bellin Memorial Hospital Inc | Nutritionist | 720 S Vanburen St, Suite 104, Green Bay, WI 54301-3538 | 2014-05-06 |
1104263532 | Bellin Memorial Hospital Inc | Surgery | 720 S Vanburen St, Suite 201, Green Bay, WI 54301-3534 | 2013-05-24 |
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NPI | Name | Taxonomy | Address | Enumeration |
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1386102465 | Parc Village Dental, LLC | Dentist | 2805 Libal Street, Suite A, Green Bay, WI 54301 | 2019-03-07 |
1598229478 | Shaina Marie Conner | Registered Nurse | 835 S Vanburen St, Green Bay, WI 54301 | 2019-01-25 |
1093298960 | Brown County | Case Management | 111 N. Jefferson Street, Green Bay, WI 54301 | 2018-09-07 |
1639609928 | Frontline Healthcare LLC | Specialist/Technologist, Other | 2221 S. Webster Ave. Suite 270, Greenbay, WI 54301 | 2017-06-19 |
1992242606 | Charmaine Rimple | Counselor | 526 South Monroe Avenue, Green Bay, WI 54301 | 2017-01-20 |
1962944819 | Rebecca Lucille Reinbold | Registered Nurse | 917 Catherine Street, Green Bay, WI 54301 | 2016-11-09 |
1730635061 | Melissa Kristof | Specialist/Technologist, Other | 1821 Sounth Webster Ave., Green Bay, WI 54301 | 2016-08-28 |
1255709747 | Vivian Sweetheart Bishop-cook | Counselor | 2920 South Webster Ave, Green Bay, WI 54301 | 2015-09-14 |
1881079960 | Chelsi S Weber | Registered Nurse | 2300 Riverside Dr., Ste 204, Green Bay, WI 54301 | 2015-07-30 |
1962816371 | Joelle M Hesse | Counselor | 630 Cherry St., Green Bay, WI 54301 | 2014-06-13 |
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Taxonomy Code | 261Q00000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558761494 | Integrated Pain Solutions LLC | Clinic/Center | 827 Cormier Rd, Green Bay, WI 54304-4706 | 2014-08-28 |
1003107723 | Bellin Memorial Hospital Inc | Clinic/Center | 3100 Ams Blvd, Ste C, Green Bay, WI 54313-9700 | 2011-04-28 |
1558534313 | New Mom's of Green Bay Sc | Clinic/Center | 704 S Webster Ave Stop 110, Green Bay, WI 54301-3528 | 2008-04-11 |
1487834156 | Touchback Chiropractic and Wellness Center LLC | Clinic/Center | 445 Cardinal Ln, Suite 106, Green Bay, WI 54313-9577 | 2007-11-09 |
1316165574 | Baycare Aurora, LLC | Clinic/Center | 2845 Greenbrier Rd., Green Bay, WI 54311 | 2007-04-23 |
1811099054 | Space Coast Family Practice | Clinic/Center | 3067 Windland Dr, Green Bay, WI 54311-7574 | 2006-09-01 |
1457677338 | Bellin Psychiatric Center | Clinic/Center | 301 E Saint Joseph St, Green Bay, WI 54301-2241 | 2010-04-16 |
1225269848 | Lenhard Professional Services LLC | Clinic/Center | 2292 Main St, Green Bay, WI 54311-5307 | 2009-07-30 |
1588820419 | Wyss Clinic of Chiropractic, LLC | Clinic/Center | 2830 Curry Ct, Suite #2, Green Bay, WI 54311-4877 | 2008-07-30 |
1437348059 | Cj Meyer Chiropractic | Clinic/Center | 2733 Manitowoc Rd, Suite 10, Green Bay, WI 54311-4901 | 2007-10-19 |
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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.