Organization
BELLIN MEMORIAL HOSPITAL INC.
Active
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) 433-3500
Mailing address
744 S WEBSTER AVE, GREEN BAY, WI 54301-3505
(920) 433-3500
Taxonomy
Speciality
Code
Description
License number
State
261QR0207X
Mobile Mammography Clinic/Center
—
—
273R00000X
Psychiatric Hospital Unit
—
—
282N00000X
General Acute Care Hospital
Primary
147
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
11010200
—
WI
05
—
32763300
—
WI
05
—
32947900
—
WI
Enumeration date
05/23/2006
Last updated
12/12/2025
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