NPIMap

Organization Active NPI

Bellin Health Iron Mountain Inc

  • Rural Health Clinic/Center
  • Florence, WI
National Provider Identifier
1265921027
Registry record updated May 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
BELLIN HEALTH IRON MOUNTAIN INC
Practice address
1010 Olive Ave
Florence, WI 54121-0380
Phone
(800) 380-7411
Fax
(715) 528-5592
NPI assigned
May 8, 2018
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Denise K Stroobants
Title
Credentialing Specialist
Phone
(920) 445-7226

National Provider Directory

National Provider Directory
Tax ID family
Bellin Health Iron Mountain Inc28 organizations share this tax ID, including this one

Other organizations with this tax ID 27

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

View all 27

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Rural Health Clinic/Center 261QR1300X Primary

Addresses

NPPES NPI Registry

Primary practice location

1010 Olive Ave
Florence, WI 54121-0380

Mailing address

PO Box 22487
Green Bay, WI 54305-2487
Phone (920) 445-7222

Other names 1

NPPES NPI Registry
  • Bellin Health Florence Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 8, 2018.

{
    "created_epoch": "1525737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525737600000",
    "number": "1265921027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22487",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543052487",
            "telephone_number": "920-445-7222",
            "fax_number": "920-445-7289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 OLIVE AVE",
            "city": "FLORENCE",
            "state": "WI",
            "postal_code": "541210380",
            "telephone_number": "800-380-7411",
            "fax_number": "715-528-5592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELLIN HEALTH IRON MOUNTAIN INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-08",
        "last_updated": "2018-05-08",
        "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": "920-445-7226"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bellin Health Florence",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bellin Health Florence",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Florence, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2018; 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.