Organization
BELLIN MEMORIAL HOSPITAL INC
Active
Parent organization
BELLIN MEMORIAL HOSPITAL INC
Other names
BELLIN HOME INFUSION
Organization subpart
Yes
Provider details
NPI number
Legal business name
BELLIN MEMORIAL HOSPITAL INC
Authorized official
DENISE K STROOBANTS (CREDENTIALING SPECIALIST)
(920) 433-7864
Entity
Organization
Contact information
Practice address
744 S WEBSTER AVE, GREEN BAY, WI 54301-3505
(920) 445-7226
Mailing address
744 S WEBSTER AVE, GREEN BAY, WI 54301-3505
(920) 445-7226
Taxonomy
Speciality
Code
Description
License number
State
3336H0001X
Home Infusion Therapy Pharmacy
Primary
2516-042
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33221800
—
WI
01
—
5106061
NABP / NCPDP
WI
Enumeration date
09/26/2006
Last updated
10/18/2021
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