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Organization Active NPI

Bellin Memorial Hospital Inc.

  • General Acute Care Hospital
  • Green Bay, WI
National Provider Identifier
1891740585
Registry record updated Sep 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
147 Issued in WI
Legal business name
BELLIN MEMORIAL HOSPITAL INC.
Practice address
744 S Webster Ave
Green Bay, WI 54301-3505
Phone
(920) 433-3500
NPI assigned
May 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Debra Van Pay
Title
Director, Reimbursement
Phone
(920) 436-8628

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mobile Mammography Clinic/Center 261QR0207X
Psychiatric Hospital Unit 273R00000X
General Acute Care Hospital 282N00000X 147 WI Primary

Addresses

Primary practice location

744 S Webster Ave
Green Bay, WI 54301-3505

Mailing address

744 S Webster Ave
Green Bay, WI 54301-3505
Phone (920) 433-3500

Other identifiers 3

IdentifierTypeStateIssuer
11010200MedicaidWI
32947900MedicaidWI
32763300MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, MI3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20031121000089 WI Part B Supplier - Clinic/Group Practice 8820900749 Receives reassigned benefits from 936 practitioners
This NPI is an additional NPI on the enrollment
O20061218000510 MI Part B Supplier - Clinic/Group Practice 8820900749 Receives reassigned benefits from 183 practitioners
16 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Iron Mountain, MI; Marquette, MI; Escanaba, MI
O20080104000438 WI Part A Provider - Hospital 8820900749 Practice locations: Green Bay, WI

Hospital certification: CCN 520049

Legal name
BELLIN MEMORIAL HOSPITAL INC
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Jan 15, 2005
Beds
242
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
Mar 20, 1989 in WI
Enrollment address
744 S Webster Ave
Green Bay, WI 54301-3505
Main/Primary Hospital Location
Hospital subgroups
Acute care

Facilities connected through Provider of Services related, parent or unit certification numbers.

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.

Care Compare: Hospital

Medicare Care Compare
Listed as
Bellin Memorial HospitalCCN 520049
Overall star rating
4 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Locations

13768 Roswell Ave
Ste 100
Chino, CA 91710
Phone (909) 342-7892

Ownership & related parties

All disclosed owners & managing parties 9

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Michael Landrum Individual Corporate Director Jan 1, 2024
Scott Rathgaber Individual Corporate Director Dec 1, 2022
Debra Van Pay Individual Corporate DirectorDirector Dec 1, 2025
W-2 Managing EmployeeDirector Dec 1, 2025
Sharla Baenen Individual Corporate Director Oct 1, 2022
Sara L Arndt Individual W-2 Managing Employee Oct 1, 2022
Bellin Gundersen Health System Inc Organization, La Crosse, WI Corporation 5% Or Greater Indirect Ownership Interest Dec 1, 2022
Bellin Health Systems, Inc. Organization, Green Bay, WI Corporation 5% Or Greater Direct Ownership Interest Oct 1, 2022
Laura a Hieb Individual Corporate Director Oct 1, 2022
Peter Vandenhouten Individual Corporate Director Oct 1, 2022

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

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.

Facilities with the same owner 50

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 50

Practitioners & affiliated clinicians

Practitioners 703

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 703

Affiliated clinicians 593

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 593

NPI Registry JSON

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788912000000",
    "number": "1891740585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "744 S WEBSTER AVE",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543013505",
            "telephone_number": "920-433-3500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "744 S WEBSTER AVE",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543013505",
            "telephone_number": "920-433-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELLIN MEMORIAL HOSPITAL INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-23",
        "last_updated": "2026-09-09",
        "certification_date": "2026-09-09",
        "status": "A",
        "authorized_official_last_name": "VAN PAY",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_title_or_position": "DIRECTOR, REIMBURSEMENT",
        "authorized_official_telephone_number": "920-436-8628"
    },
    "taxonomies": [
        {
            "code": "261QR0207X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile Mammography",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "WI",
            "license": "147",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "11010200",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32947900",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32763300",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Green Bay, WI

Sources for this page

Verify at the official NPI Registry.