| Organization Name: | BELLIN MEMORIAL HOSPITAL INC |
| NPI Number: | 1063893352 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DENISE K STROOBANTS (CREDENTIALING SPECIALIST) |
| Mailing Address: | 511 N 3rd Street Sturgeon Bay |
| State: | WI US |
| Postal Code: | 54235 |
| Phone Number: | 9204457226 |
| Fax Number: | 9204457229 |
| NPI Enumeration Date: | 06/12/2015 |
| NPI Last Update Date: | 06/12/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |