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Organization
BELLIN MEMORIAL HOSPITAL INC
Active
Organization
BELLIN MEMORIAL HOSPITAL INC
Active
Other names
Bellin Health Generations
Organization subpart
No
Provider details
NPI number
Authorized official
DENISE K STROOBANTS (CREDENTIALING SPECIALIST)
(920) 445-7226
Entity
Organization
Contact information
Practice address
720 S VANBUREN ST, SUITE 101, GREEN BAY, WI 54301-3534
(920) 468-3444
(920) 432-6313
Mailing address
PO BOX 22487, GREEN BAY, WI 54305-2487
(920) 445-7210
(920) 445-7289
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
52D0394921
CLIA #
WI
Enumeration date
05/10/2013
Last updated
01/06/2020
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