Bellin Memorial Hospital Inc
Organization Active NPI Rural Health Clinic/Center · Algoma, WI
NPI 1609838473 · NPPES record last updated Jul 28, 2025
Key facts
- NPI
- 1609838473
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Rural Health Clinic/Center 261QR1300X
- Legal business name
- BELLIN MEMORIAL HOSPITAL INC
- Practice address
- 831 Parker St
Algoma, WI 54201-1948 - Phone
- (920) 487-3676
- NPI assigned
- Apr 5, 2006
- Organization subpart
- Yes
- Parent organization (as reported)
- BELLIN MEMORIAL HOSPITAL INC
Authorized official
- Name
- Abby Julia Engebose
- Title
- Credentialing Specialist
- Phone
- (920) 433-7860
Owners & managing parties with NPI records 2
-
Michael Leroy Landrum, M.D.
Owned or controlled facilities with NPI records 12
Other NPIs with the same Medicare PAC ID 9
Facilities with the same owner 50
Practitioners 1,012
-
Eric Abdul, MD
-
Sara J Aerts, NP
-
Thea J Aguon, OT
-
Rachel Ajack, DPT
-
Ali Adil Al-Humadi, PSYD
-
Fatema Al-Wahshi, MD
-
Hannah Lea Alsteen, FNP-C
-
Carmen D. Anderson, APNP
-
Kyle Michael Anderson, CRNA
-
Alisha R Anschutz, D-PT
-
Kanwar Arora, MD
-
Lynda J. Bahde, APNP
-
Randi Jo Baker, APNP
-
Yasleny F Baker, APNP
-
Tamara A Baldwin, APNP
-
Kyla S Balzar, NP
-
Hannah Leigh Bauer, LCSW
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in WI
Rural health clinic certification: CCN 523865
- Legal name
- BELLIN MEMORIAL HOSPITAL INC
- Doing business as
- FMC ALGOMA
- Certification status
- Active
- Provider type (POS)
- Rural health clinic
- Participating since
- Jun 1, 2001
- Last certification
- Sep 16, 2019
- Ownership / control type
- 2B
- Organization structure
- Corporation · Non-profit
- Incorporated
- Nov 28, 1908 in WI
- Enrollment address
- 831 Parker Ave
Algoma, WI 54201-1808
All disclosed owners & managing parties 9
| Name | Role | Since | Share |
|---|---|---|---|
| Michael Landrum |
Corporate Director | Dec 1, 2025 | |
| Scott Rathgaber |
Corporate Director | Oct 1, 2022 | |
| Debra Van Pay |
Corporate Director | Dec 1, 2025 | |
| W-2 Managing Employee |
Dec 1, 2025 | ||
| Sharla Baenen |
Corporate Director | Oct 1, 2022 | |
| Sara L Arndt |
W-2 Managing Employee | Oct 1, 2022 | |
| Bellin Gundersen Health System Inc |
5% Or Greater Indirect Ownership Interest | Dec 1, 2022 | 100% |
| Bellin Health Systems, Inc. |
5% Or Greater Direct Ownership Interest | Oct 1, 2022 | 100% |
| Laura a Hieb |
Corporate Director | Oct 1, 2022 | |
| Peter Vandenhouten |
Corporate Director | Oct 1, 2022 |
All facility ownership & control disclosures 12
| Facility | Type | Role | Since |
|---|---|---|---|
| Emplify Health Oconto Clinic |
Hospital | 5% Or Greater Direct Ownership Interest (100%) | Jun 1, 2021 |
| Emplify Health Oconto Hospital |
Hospital | 5% Or Greater Direct Ownership Interest (100%) | Jun 1, 2021 |
| Unity |
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 Clinic |
Rural health clinic | 5% Or Greater Indirect Ownership Interest | Jun 1, 2021 |
| Emplify Health Peshtigo Clinic |
Rural health clinic | 5% Or Greater Indirect Ownership Interest | Nov 14, 2016 |
| Emplify Health Crivitz Clinic |
Rural health clinic | 5% Or Greater Indirect Ownership Interest | Nov 14, 2016 |
| Emplify Health Menominee Clinic |
Rural health clinic | 5% Or Greater Indirect Ownership Interest | Nov 14, 2016 |
| Emplify Health Daggett Clinic |
Rural health clinic | 5% Or Greater Indirect Ownership Interest | Nov 14, 2016 |
| Emplify Health Marinette Clinic |
Rural health clinic | 5% Or Greater Indirect Ownership Interest | Oct 14, 2016 |
| Emplify Health Oconto Falls Clinic |
Rural health clinic | 5% Or Greater Indirect Ownership Interest | Oct 1, 2020 |
| Emplify Health Lakewood Clinic |
Rural health clinic | 5% Or Greater Indirect Ownership Interest | Jan 1, 2022 |
| Emplify Health Suring Clinic |
Rural health clinic | 5% Or Greater Indirect Ownership Interest | Jan 19, 2022 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031121000089 | WI | Part B Supplier - Clinic/Group Practice | 8820900749 | Receives reassigned benefits from 936 practitioners |
| O20050909000145 | WI | Part a Provider - Rural Health Clinic | 8820900749 | Practice locations: Algoma, WI |
National Provider Directory
- Part of
- Daggett Medical Clinic
Locations
595 R Rd
Denmark, WI 54208
Phone (920) 863-2005
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | |||
| Rural Health Clinic/Center | 261QR1300X | Yes |
Addresses
Primary practice location
831 Parker St
Algoma, WI 54201-1948
Mailing address
831 Parker St
Algoma, WI 54201-1948
Phone (920) 487-3676
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 43057500 | Medicaid | WI |
Other names
- Bellin Health Algoma
- FMC ALGOMA
Other providers in Algoma, WI
- Algoma Health Opco LLC
- Algoma Hometown Pharmacy LLC
- Algoma Lakeview Dental Care, S.C.
- Algoma Medical Center
- Aurora Pharmacy Inc
- Bellin Psychiatric Center Inc
- William F Bluett
- Allycia E Bretl
- Melissa A Brockman
- C & P Oaks Algoma LLC
All providers in Algoma, WI · Rural Health Clinic/Center in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 28, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.