BELLIN MEMORIAL HOSPITAL INC (NPI# 1790045078) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790045078 |
| Entity Type | Organization |
| Organization Name | BELLIN MEMORIAL HOSPITAL INC |
| Other Organization Name | FMC IRON MOUNTAIN |
| Practice Address |
440 Woodward Ave Iron Mountain MI 49801-4631 |
| Mailing Address |
Po Box 22487 Green Bay WI 54305-2487 |
| Practice Telephone | 9204457226 |
| Mailing Telephone | 9204457222 |
| Mailing Fax Number | 9204457289 |
| Enumeration Date | 2012-05-21 |
| Last Update Date | 2020-02-26 |
| 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 |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians | ||
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | CLIA CERT | 23D2044182 | 01 |
| Other Name | Type Code |
|---|---|
| FMC IRON MOUNTAIN | 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 |
440 WOODWARD AVE |
| City | IRON MOUNTAIN |
| State | MI |
| Zip Code | 49801-4631 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730189663 | Alexander Shelton Judy | Family Medicine | 440 Woodward Ave, Iron Mountain, MI 49801-4631 | 2005-07-21 |
| 1710517883 | Nikisha Blue Waters Zanon | Social Worker | 440 Woodward Ave, Iron Mountain, MI 49801-4631 | 2020-01-17 |
| 1891352605 | Caitlin H Winters | Occupational Therapist | 440 Woodward Ave, Iron Mountain, MI 49801-4631 | 2019-05-28 |
| 1215593660 | Alicia Katherine Barnes | Nurse Practitioner | 440 Woodward Ave, Iron Mountain, MI 49801-4631 | 2019-05-10 |
| 1699225672 | Bellin Memorial Hospital Inc | Occupational Therapist | 440 Woodward Ave, Iron Mountain, MI 49801-4631 | 2016-10-13 |
| 1487101531 | Jereme Stephen Smith | Physician Assistant | 440 Woodward Ave, Iron Mountain, MI 49801-4631 | 2016-09-07 |
| 1205287604 | Bellin Psychiatric Center Inc | Counselor | 440 Woodward Ave, Iron Mountain, MI 49801-4631 | 2016-06-27 |
| 1710347901 | Shanon David Montgomery | Nurse Practitioner | 440 Woodward Ave, Iron Mountain, MI 49801-4631 | 2016-03-01 |
| 1023477056 | Daniel Brian Johnson | Registered Nurse | 440 Woodward Ave, Iron Mountain, MI 49801-4631 | 2016-02-18 |
| 1861866923 | Samantha Anne Harrison | Nurse Practitioner | 440 Woodward Ave, Iron Mountain, MI 49801-4631 | 2015-11-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770008062 | John M Baccino | Dietitian, Registered | 325 E H St # 133, Iron Mountain, MI 49801 | 2017-08-08 |
| 1699148692 | Bd Baker Rentals LLC | Optometrist | 2100 Aragon Street, Iron Mountain, MI 49801 | 2015-11-12 |
| 1083044762 | Integrated First Response-great Lakes | Ambulance | 719 River Avenue, Iron Mountain, MI 49801 | 2013-11-18 |
| 1912340936 | Andrew James Tomlinson | Social Worker | Iron Mountain Va, 325 East H Street, Iron Mountain, MI 49801 | 2013-04-09 |
| 1902196702 | Daniel John Fornetti | Dentist | 100 S. Stephenson Ave., Iron Mountain, MI 49801 | 2011-04-13 |
| 1871815613 | Colleen Ann Sleik | Physical Therapist | Bellin Health Physical Therapy Iron Moutain, 440 Woodward Ave, Iron Mountain, MI 49801 | 2010-02-21 |
| 1679714083 | Great Lakes Recovery Centers, Inc. | Clinic/Center | 1401 N. 26th Street, Suite 109, Escanaba, MI 49801 | 2009-03-13 |
| 1831349539 | Amanda Jane Petti | Dietitian, Registered | 300 E H Street, Nutrition & Food Service, Iron Mountain, MI 49801 | 2008-09-30 |
| 1891946521 | Riki Rouse | Hearing Instrument Specialist | W8065 S Us Hwy 2/141, Iron Mountain, MI 49801 | 2008-09-30 |
| 1366690612 | Greenlund Enterpries, Inc | Hearing Aid Equipment | W8065 S. Us High 2/141, Suite #13, Iron Mountain, MI 49801 | 2008-08-28 |
| Find all providers in zip 49801 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| 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. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699976662 | Carl H Reinighaus | Family Medicine | 135 South Bass Lake Lane, Iron Mountain, MI 49801-0473 | 2007-05-29 |
| 1801980602 | Anna K Mitura- Lewandowski | Family Medicine | W8060 Millie Hill Est.dr, Iron Mountain, MI 49801 | 2006-10-03 |
| 1508969155 | Douglas Lewis Villa | Family Medicine | 212 E B St, Iron Mountain, MI 49801-3411 | 2006-09-07 |
| 1033147152 | Robert G. Scharffenberg | Family Medicine | 325 H. Street, Vamc, Im, Iron Mountain, MI 49801 | 2006-06-29 |
| 1265480297 | Kristi Rae Olson | Family Medicine | 1711 S Stephenson Ave Ste 300, Iron Mountain, MI 49801-3650 | 2006-05-04 |
| 1699757286 | Donald J Jacobs | Family Medicine | 1711 S Stephenson Ave Ste 125, Iron Mountain, MI 49801-3649 | 2005-11-18 |
| 1265434849 | Daniel M Mitchell | Family Medicine | 1711 S Stephenson Ave, Suite 300, Iron Mountain, MI 49801-3650 | 2005-08-12 |
| 1730189663 | Alexander Shelton Judy | Family Medicine | 440 Woodward Ave, Iron Mountain, MI 49801-4631 | 2005-07-21 |
| 1619316270 | Cameron Philip Werner | Family Medicine | 440 Woodward Ave, Iron Mountain, MI 49801-4631 | 2013-06-17 |
| 1992141352 | Michigan-wisconsin Family Practice Associates, P.C. | Family Medicine | 1711 S Stephenson Ave, Suite 300, Iron Mountain, MI 49801-3650 | 2013-05-13 |
| Find all providers in IRON MOUNTAIN | ||||
| City | IRON MOUNTAIN |
| Zip Code | 49801 |
Please comment or provide details below to improve the information on BELLIN MEMORIAL HOSPITAL INC.
| 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.