FMC EAST DEPERE – NPI #1780646513
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.

Health Care Provider Taxonomy Code for Family Medicine

FMC EAST DEPERE is a provider located in DE PERE, WI. NPPES has assigned the NPI number 1780646513 to FMC EAST DEPERE on April 05, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “FMC EAST DEPERE” 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 5 years ago on Oct 18, 2021. 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 FMC EAST DEPERE below.

NPI Profile for
BELLIN MEMORIAL HOSPITAL INC

NPI Number
1780646513
Enumeration Date

(more than 20 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): FMC EAST DEPERE
Primary location
555 REDBIRD CIR
DE PERE, WI 54115-7977
Phone: (920) 338-6870 Fax:
Mailing address
Same as primary location
Organization Subpart
Yes - FMC EAST DEPERE is subpart of another organization.
Authorized Official
DENISE STROOBANTS
CREDENTIALING SPECIALIST
Phone: (920) 433-7864
Updated
Certification Date
Oct 18, 2021

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.

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.