DBA CLINICA HISPANA – NPI #1104022128
Family Medicine

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.

DBA CLINICA HISPANA is a provider located in GREEN BAY, WI. NPPES has assigned the NPI number 1104022128 to DBA CLINICA HISPANA on June 26, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “DBA CLINICA HISPANA” is a dba name, the actual legal business name for this organization is BELLIN MEMORIAL HOSPITAL INC. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 4 years ago on Apr 06, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for DBA CLINICA HISPANA below.

NPI Profile for
BELLIN MEMORIAL HOSPITAL INC

NPI Number
1104022128
Enumeration Date

(about 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
BELLIN MEMORIAL HOSPITAL INC
Doing Business As (dba): DBA CLINICA HISPANA
Primary location
704 S WEBSTER AVE STE 201
GREEN BAY, WI 54301-3528
Phone: (920) 433-3410 Fax: (920) 433-3419
Mailing address
PO BOX 22487
GREEN BAY, WI 54305-2487
Phone: (920) 445-7222 Fax:
Organization Subpart
No
Authorized Official
DENISE STROOBANTS
CREDENTIALING SPECIALIST
Phone: (920) 445-7222
Updated
Certification Date
Apr 06, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for DBA CLINICA HISPANA

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDWI21312700
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.