NPIMap

Organization Active NPI

Bellin Health Iron Mountain Inc

Doing business as Bellin Health Wound Healing Center Iron Mountain

  • Physical Medicine & Rehabilitation Physician
  • Iron Mountain, MI
National Provider Identifier
1851880579
Registry record updated May 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
BELLIN HEALTH IRON MOUNTAIN INC
Doing business as
Bellin Health Wound Healing Center Iron Mountain
Practice address
1707 S Stephenson Ave Ste 101
Iron Mountain, MI 49801-3667
Phone
(906) 776-5960
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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X Primary

Addresses

Primary practice location

1707 S Stephenson Ave Ste 101
Iron Mountain, MI 49801-3667

Mailing address

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

Other names 1

  • Bellin Health Wound Healing 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

1707 S Stephenson Ave
Ste 101
Iron Mountain, MI 49801
Phone (906) 776-5960

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": "1851880579",
    "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": "1707 S STEPHENSON AVE STE 101",
            "city": "IRON MOUNTAIN",
            "state": "MI",
            "postal_code": "498013667",
            "telephone_number": "906-776-5960"
        }
    ],
    "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": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bellin Health Wound Healing Center Iron Mountain",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bellin Health Wound Healing Center Iron Mountain",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Iron Mountain, 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.