BELLIN HEALTH
NPI 1407033111
Family Medicine in Green Bay, WI

Q: What is Bellin Memorial Hospital Inc's NPI number?

The NPI number for Bellin Memorial Hospital Inc is 1407033111. It was assigned to this organization in the NPPES registry on January 24, 2008. The provider is doing business as Bellin Health.

Q: What is Bellin Memorial Hospital Inc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since January 24, 2008CLIA Certified · 3 labs

2015 SHAWANO AVE, GREEN BAY, WI 54303(920) 592-9478(920) 592-9479 Get Directions Write a Review

NPPES record last updated: October 18, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 18, 2021, Sep 17, 2019, Jul 31, 2019 and 1 more (4 updates tracked since 2019).

On this page

About Bellin Health NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BELLIN HEALTH (NPI 1407033111) is a healthcare organization registered as a family medicine in Green Bay, Wisconsin and active in the NPI registry since January 2008. The organization holds 3 active CLIA laboratory certificates and lists Denise K Stroobants, Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1407033111

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameBELLIN MEMORIAL HOSPITAL INC

Location Address2015 SHAWANO AVEGreen Bay, WI 54303-2606

Mailing AddressPo Box 22487Green Bay, WI 54305-2487 · (920) 445-7222 · Fax (920) 445-7289

Phone(920) 592-9478

Fax(920) 592-9479

Organization SubpartNo

Authorized OfficialDenise K StroobantsCredentialing Specialist · (920) 433-7864

Enumeration DateJanuary 24, 2008

Last NPPES UpdateOctober 18, 20214 updates tracked since enumeration

NPPES CertifiedOctober 18, 2021

✔ NPI 1407033111 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

2015 SHAWANO AVE, Green Bay, WI 54303

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Other Names 1

Doing Business AsBellin Health

Other Identifiers 1

Other52D1054543WI · Clia Waiver

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource (Common Ground Healthcare).Insurance ›

CLIA Laboratory Certificates CMS CLIA 4

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 52D2034137

Bellin Health Employer Clinics · Green Bay, WI

Active · expires Dec 15, 2027

CLIA Number52D2034137

Laboratory TypePhysician Office

Certificate Effective DateDecember 16, 2025

Certificate Expiration DateDecember 15, 2027

Laboratory DirectorDr. Loren C. Fuglestad

Laboratory Phone(920) 430-4553

Laboratory LocationBellin Health Employer Clinics1630 Commanche Ave, Green Bay, WI 54313

CLIA data matches this NPI record on: Name

This certificate is issued to a laboratory to perform only waived tests.

Certificate of Compliance 52D1093324

Bellin Health Fmc Bellevue · Green Bay, WI

Active · expires Jul 28, 2027

CLIA Number52D1093324

Laboratory TypePhysician Office

Certificate Effective DateJuly 29, 2025

Certificate Expiration DateJuly 28, 2027

Laboratory DirectorDr. James Gast

Laboratory Phone(920) 433-6730

Laboratory LocationBellin Health Fmc Bellevue3263 Eaton Rd, Green Bay, WI 54311

CLIA data matches this NPI record on: Name

This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Waiver 52D1034038

Bellin Health Occupational Health · Green Bay, WI

Active · expires Nov 22, 2026

CLIA Number52D1034038

Laboratory TypeIndustrial

Certificate Effective DateNovember 23, 2024

Certificate Expiration DateNovember 22, 2026

Laboratory DirectorDr. Bradley B. Wozney

Laboratory Phone(920) 305-0360

Laboratory LocationBellin Health Occupational Health1630 Commanche Avenue, Green Bay, WI 54313

CLIA data matches this NPI record on: Name

This certificate is issued to a laboratory to perform only waived tests.

Certificate of Compliance 52D2298559

Bellin Health Surgery & Specialty Center · Green Bay, WI

Expired · Aug 13, 2026

CLIA Number52D2298559

Laboratory TypeHospital

Certificate Effective DateAugust 14, 2024

Certificate Expiration DateAugust 13, 2026

Laboratory DirectorDr. Nathanial Kieler

Laboratory Phone(920) 338-6823

Laboratory LocationBellin Health Surgery & Specialty Center933 Waube Lane, Green Bay, WI 54304

CLIA data matches this NPI record on: Name

This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

FRINWEI ZITA TAMINANG APNP

Nurse Practitioner (Family)