Organization
BELLIN MEMORIAL HOSPITAL INC
Active
Parent organization
BELLIN MEMORIAL HOSPITAL INC.
Other names
BELLIN HOME HEALTH AGENCY HOME CARE SERVICES
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
1920 LIBAL ST, GREEN BAY, WI 54301-2471
(920) 432-5434
Mailing address
1920 LIBAL ST, GREEN BAY, WI 54301-2471
(920) 432-5434
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14
DQA LICENSE
WI
05
—
41505200
—
WI
Enumeration date
01/04/2007
Last updated
10/18/2021
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