Organization
BELLIN MEMORIAL HOSPITAL INC
Active
Parent organization
BELLIN MEMORIAL HOSPITAL INC
Other names
FMC OCONTO FALLS
Organization subpart
Yes
Provider details
NPI number
Legal business name
BELLIN MEMORIAL HOSPITAL INC
Authorized official
DENISE K STROOBANTS (CREDENTIALING SPECIALIST)
(920) 445-7226
Entity
Organization
Contact information
Practice address
107 E HIGHLAND DR, OCONTO FALLS, WI 54154-1002
(920) 846-3092
(920) 846-8313
Mailing address
PO BOX 22487, GREEN BAY, WI 54305-2487
(920) 445-7222
(920) 445-7289
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43059400
—
WI
Enumeration date
04/06/2006
Last updated
10/16/2019
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