Healthcare Provider Details

I. General information

NPI: 1396843041
Provider Name (Legal Business Name): DICKINSON-IRON DISTRICT HEALTH DEPARTMENT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/20/2006
Last Update Date: 08/16/2023
Certification Date: 08/16/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1374 COMMERCIAL AVE
CRYSTAL FALLS MI
49920-1085
US

IV. Provider business mailing address

1374 COMMERCIAL AVE
CRYSTAL FALLS MI
49920-1085
US

V. Phone/Fax

Practice location:
  • Phone: 906-265-9913
  • Fax: 906-874-2950
Mailing address:
  • Phone: 906-265-9913
  • Fax: 906-874-2950

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number
License Number State

VIII. Authorized Official

Name: TINA EDLUND
Title or Position: FINANCE DIRECTOR
Credential:
Phone: 906-265-4196