# BELLIN HEALTH IRON MOUNTAIN INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Bellin Health Internal Medicine Nephrology Iron Mountain
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023506706
- **Authorized official:** DENISE K STROOBANTS (CREDENTIALING SPECIALIST)
- **Authorized official phone:** (920) 445-7226

## Contact information

- **Practice address:** 1711 S STEPHENSON AVE STE 225, IRON MOUNTAIN, MI 49801-3652
- **Practice address phone:** (906) 776-5860
- **Practice address fax:** (906) 776-5833
- **Mailing address:** PO BOX 22487, GREEN BAY, WI 54305-2487
- **Mailing address phone:** (920) 445-7222
- **Mailing address fax:** (920) 445-7289

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 207RN0300X | Nephrology Physician | — | NULL | — |
| 207RN0300X | Nephrology Physician | — | — | — |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |
| 363A00000X | Physician Assistant | — | NULL | — |
| 363A00000X | Physician Assistant | — | — | — |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 04/27/2018
- **Last updated:** 04/27/2018