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NPI Code Detail

MEDICARE: DICKINSON COUNTY HEALTHCARE SYSTEM

MEDICARE: DICKINSON COUNTY HEALTHCARE SYSTEM
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1282N00000XGeneral Acute Care Hospital220020MI

General Provider Information

NPI Number : 1801887013
Entity Type Code : Organization
Provider Name (Legal Business Name) : DICKINSON COUNTY HEALTHCARE SYSTEM
Provider Business Mailing Address
First Line : 1000 N OAK AVE
Second Line : ATTN: PROVIDER ENROLLMENT SERVICES - SHP 2ND FL
City : MARSHFIELD
State : WI
Zip : 54449-5703
Country : US
Telephone Number : 715-389-0660
Fax Number :
Provider Business Practice Location Address
First Line : 1721 S STEPHENSON AVE
Second Line :
City : IRON MOUNTAIN
State : MI
Zip : 49801-3637
Country : US
Telephone Number : 906-774-1313
Fax Number : 906-776-5639
Authorized Official
Title or Position : VP REVENUE CYCLE OPERATIONS
Name : JOLYN MUNSON
Credential :
Telephone Number : 605-328-6585
Provider Enumeration Date : 11/04/2005
Last Update Date : 07/18/2025

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Directions to “DICKINSON COUNTY HEALTHCARE SYSTEM ” Practice Location

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