Healthcare Provider Details

I. General information

NPI: 1801150206
Provider Name (Legal Business Name): BELLIN PSYCHIATRIC CENTER INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/29/2012
Last Update Date: 07/10/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

610 S LINCOLN RD
ESCANABA MI
49829-1215
US

IV. Provider business mailing address

610 S LINCOLN RD
ESCANABA MI
49829-1215
US

V. Phone/Fax

Practice location:
  • Phone: 906-786-6409
  • Fax:
Mailing address:
  • Phone: 906-786-6409
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: DENISE K STROOBANTS
Title or Position: CREDENTIALING SPECIALIST
Credential:
Phone: 920-445-7226