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General NPI Number Information
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NPI Number | 1083659502
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Entity Type | Organization
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Legal Business Name | DICKINSON COUNTY HEALTHCARE SYSTEM
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Dates
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Enumeration Date | 06/18/2006
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Last Update Date | 07/18/2025
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Provider Practice Location Address
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Address Line | 1711 S STEPHENSON AVE STE 210
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City | IRON MOUNTAIN
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State | MI
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Zip | 49801-3649
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Country | US
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Telephone | 906-776-5800
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Fax | 906-776-5801
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Provider Business Mailing Address
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Address Line | 1000 N OAK AVE ATTN: PROVIDER ENROLLMENT COORDINATOR SHP FL 2
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City | MARSHFIELD
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State | WI
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Zip | 54449-5703
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Country | US
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Telephone | 715-389-0660
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Fax |
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Authorized Official
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Title or Position | VP REVENUE CYCLE OPERATIONS
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Name | JOLYN MUNSON
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Credential |
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Telephone | 605-328-6585
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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License Number |
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License Number State |
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