NPIMap

Organization Active NPI

Bellin Memorial Hospital Inc

Doing business as The Well

  • Clinic/Center
  • Green Bay, WI
National Provider Identifier
1003107723
Registry record updated Jan 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
BELLIN MEMORIAL HOSPITAL INC
Doing business as
The Well
Practice address
3100 Ams Blvd
Ste C
Green Bay, WI 54313-9700
Phone
(920) 445-7222
NPI assigned
Apr 28, 2011
Last updated
Jan 26, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
BELLIN MEMORIAL HOSPITAL INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 26, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Denise K Stroobants
Title
Credentialing Specialist
Phone
(920) 433-7864

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

3100 Ams Blvd
Ste C
Green Bay, WI 54313-9700

Mailing address

3100 Ams Blvd
Ste C
Green Bay, WI 54313-9700
Phone (920) 445-7222

Other names 2

  • The Well Doing business as
  • THE WELL-BELLIN Other name

National Provider Directory

National Provider Directory
Tax ID family
Peshtigo Family Prac55 organizations share this tax ID, including this one
Part of
Peshtigo Family Prac

Organizations with this tax ID in the same state 12

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1303948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611619200000",
    "number": "1003107723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 AMS BLVD",
            "address_2": "STE C",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543139700",
            "telephone_number": "920-445-7222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 AMS BLVD",
            "address_2": "STE C",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543139700",
            "telephone_number": "920-445-7222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELLIN MEMORIAL HOSPITAL INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BELLIN MEMORIAL HOSPITAL INC",
        "enumeration_date": "2011-04-28",
        "last_updated": "2021-01-26",
        "certification_date": "2021-01-26",
        "status": "A",
        "authorized_official_last_name": "STROOBANTS",
        "authorized_official_first_name": "DENISE",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "920-433-7864"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Well",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "THE WELL-BELLIN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Green Bay, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.