NPIMap

Organization Active NPI

Bellin Memorial Hospital Inc

Doing business as Bellin Health Heart & Vascular Crystal Falls

  • Cardiovascular Disease Physician
  • Crystal Falls, MI
National Provider Identifier
1376649509
Registry record updated Oct 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
4301087525 Issued in MI
Legal business name
BELLIN MEMORIAL HOSPITAL INC
Doing business as
Bellin Health Heart & Vascular Crystal Falls
Cardiology Associates of Bellin Health
Practice address
1328 US Hwy 2
Crystal Falls, MI 49920
Phone
(906) 776-0550
NPI assigned
Sep 15, 2006
Last updated
Oct 18, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 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 Specialsit
Phone
(920) 433-7864

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 4301087525 MI Primary

Addresses

Primary practice location

1328 US Hwy 2
Crystal Falls, MI 49920

Mailing address

1328 US Hwy 2
Crystal Falls, MI 49920
Phone (906) 776-0550

Other names 2

  • BELLIN HEALTH HEART & VASCULAR CRYSTAL FALLS Doing business as
  • Cardiology Associates of Bellin Health Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061218000510 MI Part B Supplier - Clinic/Group Practice 8820900749 Receives reassigned benefits from 183 practitioners
16 other NPIs on this enrollment
Practice locations: Iron Mountain, MI; Marquette, MI; Escanaba, MI

Other NPIs with the same Medicare PAC ID 9

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 8

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

1328 US Highway 2
Crystal Falls, MI 49920
Phone (906) 774-8110

Ownership & related parties

All facility ownership & control disclosures 12

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Emplify Health Oconto ClinicOconto, WI, CCN 521356 Hospital 5% Or Greater Direct Ownership Interest (100%) Jun 1, 2021
Emplify Health Oconto HospitalOconto, WI, CCN 52Z356 Hospital 5% Or Greater Direct Ownership Interest (100%) Jun 1, 2021
UnityDe Pere, WI, CCN 521503 Hospice 5% Or Greater Direct Ownership Interest (45%)
Limited Partnership Interest (45%)
Operational/Managerial Control (45%)		 Oct 1, 1992
Oct 1, 1992
Oct 1, 1992
Emplify Health Oconto ClinicOconto, WI, CCN 528554 Rural health clinic 5% Or Greater Indirect Ownership Interest Jun 1, 2021
Emplify Health Peshtigo ClinicPeshtigo, WI, CCN 528580 Rural health clinic 5% Or Greater Indirect Ownership Interest Nov 14, 2016
Emplify Health Crivitz ClinicCrivitz, WI, CCN 528579 Rural health clinic 5% Or Greater Indirect Ownership Interest Nov 14, 2016
Emplify Health Menominee ClinicMenominee, MI, CCN 238705 Rural health clinic 5% Or Greater Indirect Ownership Interest Nov 14, 2016
Emplify Health Daggett ClinicDaggett, MI, CCN 238704 Rural health clinic 5% Or Greater Indirect Ownership Interest Nov 14, 2016
Emplify Health Marinette ClinicMarinette, WI, CCN 528578 Rural health clinic 5% Or Greater Indirect Ownership Interest Oct 14, 2016
Emplify Health Oconto Falls ClinicOconto Falls, WI, CCN 528617 Rural health clinic 5% Or Greater Indirect Ownership Interest Oct 1, 2020
Emplify Health Lakewood ClinicLakewood, WI, CCN 528630 Rural health clinic 5% Or Greater Indirect Ownership Interest Jan 1, 2022
Emplify Health Suring ClinicSuring, WI, CCN 528631 Rural health clinic 5% Or Greater Indirect Ownership Interest Jan 19, 2022

Owned or controlled facilities with NPI records 12

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 189

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 189

NPI Registry JSON

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634515200000",
    "number": "1376649509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1328 US HWY 2",
            "city": "CRYSTAL FALLS",
            "state": "MI",
            "postal_code": "49920",
            "telephone_number": "906-776-0550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1328 US HWY 2",
            "city": "CRYSTAL FALLS",
            "state": "MI",
            "postal_code": "49920",
            "telephone_number": "906-776-0550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELLIN MEMORIAL HOSPITAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-15",
        "last_updated": "2021-10-18",
        "certification_date": "2021-10-18",
        "status": "A",
        "authorized_official_last_name": "STROOBANTS",
        "authorized_official_first_name": "DENISE",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALSIT",
        "authorized_official_telephone_number": "920-433-7864"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MI",
            "license": "4301087525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BELLIN HEALTH HEART & VASCULAR CRYSTAL FALLS",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Cardiology Associates of Bellin Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Crystal Falls, MI

Sources for this page

Verify at the official NPI Registry.