DICKINSON COUNTY HEALTHCARE SYSTEM NPI 1134166101

NPI Information

NPI: 1134166101
Provider Name: DICKINSON COUNTY HEALTHCARE SYSTEM

Doing Business As: MARSHFIELD MEDICAL CENTER - DICKINSON FAMILY MEDICINE

Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

CLIA Number: 23D0381963

Address:
1711 S STEPHENSON AVE STE 125
IRON MOUNTAIN, MI
ZIP 49801
Phone: (906) 776-5810
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DICKINSON COUNTY HEALTHCARE SYSTEM is a rural health clinic center in Iron Mountain, MI. DICKINSON COUNTY HEALTHCARE SYSTEM NPI is 1134166101. The provider is registered as an organization entity type.
The provider Is Doing Business As Marshfield Medical Center - Dickinson Family Medicine.

The provider's business location address is:

1711 S STEPHENSON AVE STE 125
IRON MOUNTAIN, MI
ZIP 49801-649
Phone: (906) 776-5810

The provider's authorized official is Kathleen Bressler .
The authorized official title is Coo, Ao and has the following contact phone number (715) 975-6018.

The CLIA number assigned to this NPI record is 23D0381963 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/31/2006 and was last updated on 10/26/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR1300X	Clinic/Center	Rural Health			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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