BELLIN MEMORIAL HOSPITAL INC (NPI# 1699737379) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699737379 |
| Entity Type | Organization |
| Organization Name | BELLIN MEMORIAL HOSPITAL INC |
| Other Organization Name | FMC KEWAUNEE |
| Practice Address |
575 4th St Kewaunee WI 54216-1785 |
| Practice Telephone | 9203884640 |
| Mailing Telephone | 9203884640 |
| Enumeration Date | 2006-04-06 |
| Last Update Date | 2019-08-02 |
| Authorized Official Name | DENISE K STROOBANTS (CREDENTIALING SPECIALIST) |
| Authorized Official Telephone | 9204457226 |
| Is Organization Subpart | Y |
| Parent Organization Name | BELLIN MEMORIAL HOSPITAL INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| FMC KEWAUNEE | Doing Business As Name - Organization |
| 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 |
575 4TH ST |
| City | KEWAUNEE |
| State | WI |
| Zip Code | 54216-1785 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104811793 | Mark A Fuss | Physician Assistant | 575 4th St, Kewaunee, WI 54216-1785 | 2005-09-20 |
| 1447773783 | Marie G Smith | Dietitian, Registered | 575 4th St, Kewaunee, WI 54216 | 2017-07-19 |
| 1851667265 | Allan James Olson | Family Medicine | 575 4th St, Kewaunee, WI 54216-1785 | 2012-03-29 |
| 1891009338 | Marcia Ann Hayes | Nurse Practitioner | 575 4th St, Kewaunee, WI 54216-1785 | 2010-07-26 |
| 1447395389 | Anthony Michael Sachse | Physical Therapist | 575 4th St, Kewaunee, WI 54216 | 2007-02-20 |
| 1144391483 | Teresa M Vanlanen | Occupational Therapist | 575 4th St, Kewaunee, WI 54216-1785 | 2006-11-10 |
| 1508829136 | Bellin Psychiatric Center Inc | Psychiatry & Neurology | 575 4th St, Kewaunee, WI 54216-1785 | 2006-04-06 |
| 1366427502 | Thomas Michael Zenner | Family Medicine | 575 4th St, Kewaunee, WI 54216-1785 | 2005-12-09 |
| 1649254384 | Bonnie S Mueller-waigand | Physician Assistant | 575 4th St, Kewaunee, WI 54216-1785 | 2005-12-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114436284 | Rebecca M Kasten | Massage Therapist | 224 Ellis St., Kewaunee, WI 54216 | 2017-09-21 |
| 1780932772 | Tricia Lynn Keister | Registered Nurse | N6028 County Road D, Kewaunee, WI 54216 | 2012-08-22 |
| 1295988061 | Carol Jean Mueller | Licensed Practical Nurse | N 1199 Hwy 42, Kewaunee, WI 54216 | 2008-10-24 |
| 1578754511 | Kenneth J & Marilyn M Secor | Assisted Living Facility | 1204 Fourth St, Kewaunee, WI 54216 | 2007-08-06 |
| 1073548046 | Aurora Pharmacy Inc | Pharmacy | 931 Marquette Dr, Kewaunee, WI 54216 | 2006-07-11 |
| 1376572529 | Richard James Seifert | Social Worker | 810 Lincoln St, Kewaunee, WI 54216 | 2006-07-01 |
| 1639141955 | Marcus Arnold Steele | Chiropractor | 1218 Ellis Street, Steele Chiropractic Clinic, Kewaunee, WI 54216 | 2006-02-02 |
| 1952429300 | Lori M Nellis | Social Worker | 810 Lincoln Street, Kewaunee, WI 54216 | 2007-03-26 |
| 1073663704 | Lakeshore Vision Centers Ltd | Clinic/Center | 1217 Ellis St, Kewaunee, WI 54216 | 2007-01-12 |
| 1720152853 | Kristin Lynn Veleke | Case Manager/Care Coordinator | 810 Lincoln Street, Kewaunee, WI 54216 | 2006-11-20 |
| Find all providers in zip 54216 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
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| 1942712344 | Divine Savior Healthcare, Inc. | Clinic/Center | N4390 Crossroads Clinic Road, Oxford, WI 53952 | 2017-10-26 |
| 1861904294 | Divine Savior Healthcare, Inc. | Clinic/Center | 102 Gillette Street, Pardeeville, WI 53954 | 2017-10-25 |
| 1366878449 | Amery Regional Medical Center, Inc | Clinic/Center | 357 Third Ave, Clear Lake, WI 54005-0177 | 2013-09-19 |
| 1851652374 | St. Croix Regional Medical Center | Clinic/Center | 26425 Lakeland Avenue South, Webster, WI 54893-8341 | 2012-05-31 |
| 1811256126 | St. Croix Regional Medical Center | Clinic/Center | 205 West Oak Street, Frederic, WI 54837 | 2012-05-07 |
| 1508198961 | Door County Memorial Hospital | Clinic/Center | 3711 Highway 42, Fish Creek, WI 54212 | 2010-02-09 |
| 1174627483 | Door County Memorial Hospital | Clinic/Center | 910 Main Rd, Washington Island, WI 54246 | 2006-09-08 |
| 1881607463 | St. Joseph's Health Services, Inc | Clinic/Center | 301 Railroad Rd, Wonewoc, WI 53968-9425 | 2006-08-14 |
| Find all providers with the same taxonomy | ||||
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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.