Bellin Medical Group

LBN: Bellin Medical Group
Bellin Medical Group is an health care organization with primary practice located at 833 S Main St , Oconto Falls WI 54154-1241. The organization recently has only one registered license in Suppliers / Non-Pharmacy Dispensing Site, which is considered as the primary health care specialty. Bellin Medical Group can be contacted via phone (920) 846-3092, or through Shackelford, Direndia via phone (800) 654-0889.

Contact Information

Primary practice address
833 S Main St Oconto Falls WI 54154-1241
Phone: (920) 846-3092
Fax: (920) 846-8313
Website:
Map and Directions
Authorized official contact:
Name: Shackelford, Direndia
Phone: (800) 654-0889

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Non-Pharmacy Dispensing Site 332900000X 24066020 Wisconsin

Profile Details

NPI number 1871677419
LBN Legal business name Bellin Medical Group
DBA Doing business as Bellin Medical Group
Authorized official Shackelford, Direndia
Entity Organization
Organization subpart 1 No
Enumeration date Oct 24th, 2006
Last updated Aug 22nd, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871677419 NPPES
Other 5125427 OTHER ID NUMBER-COMMERCIAL NUMBER
MEDICAID 30611600 OTHER ID NUMBER-COMMERCIAL NUMBER

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