NPIMap

Organization Active NPI

Bellin Memorial Hospital Inc

Doing business as Bellin Health MRI

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Green Bay, WI
National Provider Identifier
1538405691
Registry record updated May 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Magnetic Resonance Imaging (MRI) Clinic/CenterTaxonomy code 261QM1200X
Legal business name
BELLIN MEMORIAL HOSPITAL INC
Doing business as
Bellin Health MRI
Practice address
1241 Lombardi Access Rd
Suite H
Green Bay, WI 54304-4059
Phone
(920) 445-7000
NPI assigned
Dec 18, 2012
Last updated
May 27, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2020

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Magnetic Resonance Imaging (MRI) Clinic/Center 261QM1200X NU Primary

Addresses

Primary practice location

1241 Lombardi Access Rd
Suite H
Green Bay, WI 54304-4059

Mailing address

1241 Lombardi Access Rd
Suite H
Green Bay, WI 54304-4059
Phone (920) 445-7000

Other names 1

  • Bellin Health MRI Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1355788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590537600000",
    "number": "1538405691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1241 LOMBARDI ACCESS RD",
            "address_2": "SUITE H",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543044059",
            "telephone_number": "920-445-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1241 LOMBARDI ACCESS RD",
            "address_2": "SUITE H",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543044059",
            "telephone_number": "920-445-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELLIN MEMORIAL HOSPITAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-18",
        "last_updated": "2020-05-27",
        "certification_date": "2020-05-27",
        "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": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bellin Health MRI",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bellin Health MRI",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 May 27, 2020; 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.