Provider Demographics
NPI:1114936051
Name:BEL-REGIONAL HOME MEDICAL INC
Entity Type:Organization
Organization Name:BEL-REGIONAL HOME MEDICAL INC
Other - Org Name:BELLIN HEALTH PHARMACY - WRIGHTSTOWN
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PROVIDER/CLINIC MAINTENANCE
Authorized Official - Prefix:
Authorized Official - First Name:DENISE
Authorized Official - Middle Name:K
Authorized Official - Last Name:STROOBANTS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:920-445-7222
Mailing Address - Street 1:555 QUALITY COURT
Mailing Address - Street 2:
Mailing Address - City:WRIGHTSTOWN
Mailing Address - State:WI
Mailing Address - Zip Code:54180
Mailing Address - Country:US
Mailing Address - Phone:920-433-3480
Mailing Address - Fax:
Practice Address - Street 1:555 QUALITY COURT
Practice Address - Street 2:
Practice Address - City:WRIGHTSTOWN
Practice Address - State:WI
Practice Address - Zip Code:54180
Practice Address - Country:US
Practice Address - Phone:920-433-3480
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BEL-REGIONAL HOME MEDICAL INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-08-07
Last Update Date:2008-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI00083670423336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy