# BELLIN MEMORIAL HOSPITAL INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Bellin Health Crivitz Specialty Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003202631
- **Authorized official:** DENISE K STROOBANTS (CREDENTIALING SPECIALIST)
- **Authorized official phone:** (920) 445-7226

## Contact information

- **Practice address:** 218 SO HWY 141, CRIVITZ, WI 54114-1636
- **Practice address phone:** (715) 854-7477
- **Mailing address:** PO BOX 22487, GREEN BAY, WI 54305-2487
- **Mailing address phone:** (920) 445-7210
- **Mailing address fax:** (920) 445-7289

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/10/2015
- **Last updated:** 04/10/2015