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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