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Bellin Memorial Hospital Inc

Organization Active NPI Neurology Physician · Green Bay, WI

NPI 1225420664 · NPPES record last updated Oct 18, 2021

Key facts

NPI
1225420664
Entity type
Organization (NPI type 2)
Primary specialty
Neurology Physician 2084N0400X
Legal business name
BELLIN MEMORIAL HOSPITAL INC
Practice address
725 S Webster Ave
Suite 201
Green Bay, WI 54301-3500
Phone
(920) 430-7100
Fax
(920) 430-7114
NPI assigned
Feb 23, 2015
Organization subpart
No

Authorized official

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

Corporate family (same tax ID) 24

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 31

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 31

Medicare participation

Medicare fee-for-service enrollment
Enrolled in WI

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20031121000089 WI Part B Supplier - Clinic/Group Practice 8820900749 Receives reassigned benefits from 936 practitioners
This NPI is an additional NPI on the enrollment

National Provider Directory

Tax ID family
Daggett Medical Clinic (54 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician
Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP		 2084N0400X Yes

Addresses

Primary practice location

725 S Webster Ave
Suite 201
Green Bay, WI 54301-3500

Mailing address

PO Box 22487
Green Bay, WI 54305-2487
Phone (920) 445-7210

Other names

  • Neurology Consultants of Bellin Health Doing business as

Other providers in Green Bay, WI

All providers in Green Bay, WI · Neurology Physician in Wisconsin

Sources for this page

Verify at the official NPI Registry.