DICKINSON COUNTY HEALTHCARE SYSTEM NPI 1891723128

NPI Information

NPI: 1891723128
Provider Name: DICKINSON COUNTY HEALTHCARE SYSTEM

Doing Business As: DICKINSCON CONVENIENT CARE CLINIC

Classification: Clinic/Center - 261QU0200X
Entity Type: Organization

Specialization: Urgent Care

Address:
1721 S STEPHENSON AVE
IRON MOUNTAIN, MI
ZIP 49801
Phone: (906) 774-1313
Get Directions

DICKINSON COUNTY HEALTHCARE SYSTEM is an urgent care clinic center in Iron Mountain, MI. DICKINSON COUNTY HEALTHCARE SYSTEM NPI is 1891723128. The provider is registered as an organization entity type.
The provider Is Doing Business As Dickinscon Convenient Care Clinic.

The provider's business location address is:

1721 S STEPHENSON AVE
IRON MOUNTAIN, MI
ZIP 49801-637
Phone: (906) 774-1313
Fax: (906) 776-5639

The provider's authorized official is Charles Nelson .
The authorized official title is Chief Executive Officer and has the following contact phone number (906) 774-1313.

The enumeration date for this NPI number is 6/28/2006 and was last updated on 11/26/2019.

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			No
2	261QU0200X	Clinic/Center	Urgent Care			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	43058200	MEDICAID	WISCONSIN
2	16126	OTHER	MICHIGAN	BCBS FACILITY CODE RHC

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

NPI Synchronization or Removal

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