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General NPI Number Information
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NPI Number | 1841188604
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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 | 06/27/2025
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Last Update Date | 07/18/2025
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Provider Practice Location Address
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Address Line | 1721 S STEPHENSON AVE
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City | IRON MOUNTAIN
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State | MI
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Zip | 49801-3637
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Country | US
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Telephone | 906-774-1313
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Fax |
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Provider Business Mailing Address
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Address Line | 1000 N OAK AVE ATTN: PROVIDER ENROLLMENT SHP FL2
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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 |
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Fax |
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Authorized Official
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Title or Position | VICE PRESIDENT REVENUE CYCLE
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Name | JOLYN MUNSON
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Credential |
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Telephone | 605-328-8395
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282NC0060X
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Taxonomy Name | Critical Access Hospital
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License Number |
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License Number State |
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