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Organization
BELLIN MEMORIAL HOSPITAL INC
Active
Organization
BELLIN MEMORIAL HOSPITAL INC
Active
Other names
Bellin Health
Organization subpart
No
Provider details
NPI number
Authorized official
ABBY JULIA ENGEBOSE (CREDENTIALING SPECIALIST)
(920) 433-7860
Entity
Organization
Contact information
Practice address
744 S WEBSTER AVE, GREEN BAY, WI 54301-3505
(920) 445-7272
(920) 433-6090
Mailing address
PO BOX 22487, GREEN BAY, WI 54305-2487
(920) 445-7210
(920) 445-7289
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
207RC0001X
Clinical Cardiac Electrophysiology Physician
—
—
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
—
207RG0100X
Gastroenterology Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
207VX0201X
Gynecologic Oncology Physician
—
—
207X00000X
Orthopaedic Surgery Physician
—
—
207Y00000X
Otolaryngology Physician
—
—
208000000X
Pediatrics Physician
—
—
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000215
WI MEDICARE
WI
01
—
0P38340
MI MEDICARE
MI
01
—
243966
US DEPARTMENT OF HEALTH AND HUMAN SERVICES FDA MAMMOGRAPHY CERTIFICATION
—
Enumeration date
04/08/2006
Last updated
07/28/2025
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