Healthcare Provider Details

I. General information

NPI: 1508779687
Provider Name (Legal Business Name): DICKINSON COUNTY HEALTHCARE SYSTEM
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/28/2026
Last Update Date: 09/28/2026
Certification Date: 09/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1414 W FAIR AVE STE 135
MARQUETTE MI
49855-5408
US

IV. Provider business mailing address

1414 W FAIR AVE STE 135
MARQUETTE MI
49855-5408
US

V. Phone/Fax

Practice location:
  • Phone: 906-225-3880
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number
License Number StateNULL

VIII. Authorized Official

Name: TONY LEE MORRISON
Title or Position: CHIEF REVENUE CYCLE OFFICER
Credential:
Phone: 605-328-8380