Mobile Diagnostic Idtf

LBN: Bellin Memorial Hospital Inc
Mobile Diagnostic Idtf is an health care organization with primary practice located at 744 S Webster Ave , Green Bay WI 54301-3505. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Radiology, Mobile Mammography, Ambulatory Health Care Facilities / Radiology, Mobile. Ambulatory Health Care Facilities / Radiology, Mobile is the primary health care specialty. Bellin Memorial Hospital Inc can be contacted via phone (920) 445-7222, or through Stroobants, Denise K via phone (920) 433-7864.

Contact Information

Primary practice address
744 S Webster Ave Green Bay WI 54301-3505
Phone: (920) 445-7222
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Stroobants, Denise K
Phone: (920) 433-7864

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Radiology, Mobile Mammography 261QR0207X Wisconsin
Ambulatory Health Care Facilities / Radiology, Mobile 261QR0208X Wisconsin

Profile Details

NPI number 1740600600
LBN Legal business name Bellin Memorial Hospital Inc
DBA Doing business as Mobile Diagnostic Idtf
Authorized official Stroobants, Denise K
Entity Organization
Organization subpart 1 No
Enumeration date Apr 18th, 2014
Last updated Oct 18th, 2021 - about 4 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 1740600600 NPPES
Wisconsin Other 102970 ACR CERTIFICATION

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