NPIMap

Organization Active NPI

Bellin Health Iron Mountain Inc

Doing business as Bellin Health Sleep Center Iron Mountain

  • Sleep Medicine (Family Medicine) Physician
  • Kingsford, MI
National Provider Identifier
1306335021
Registry record updated May 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Family Medicine) PhysicianTaxonomy code 207QS1201X
Legal business name
BELLIN HEALTH IRON MOUNTAIN INC
Doing business as
Bellin Health Sleep Center Iron Mountain
Practice address
1100 S Carpenter Ave
Kingsford, MI 49802-5518
Phone
(906) 776-5480
Fax
(906) 228-0203
NPI assigned
May 8, 2018
Last updated
May 8, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2018

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) 445-7226

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Medicine (Family Medicine) Physician 207QS1201X Primary
Pediatric Sleep Medicine Physician 2080S0012X

Addresses

Primary practice location

1100 S Carpenter Ave
Kingsford, MI 49802-5518

Mailing address

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

Other names 1

  • Bellin Health Sleep Center Iron Mountain Doing business as

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

Locations

1100 S Carpenter Ave
Kingsford, MI 49802
Phone (906) 776-5480

NPI Registry JSON

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

{
    "created_epoch": "1525737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525737600000",
    "number": "1306335021",
    "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": "1100 S CARPENTER AVE",
            "city": "KINGSFORD",
            "state": "MI",
            "postal_code": "498025518",
            "telephone_number": "906-776-5480",
            "fax_number": "906-228-0203"
        }
    ],
    "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": "207QS1201X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sleep Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2080S0012X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Sleep Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bellin Health Sleep Center Iron Mountain",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bellin Health Sleep Center Iron Mountain",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kingsford, MI

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.