| Organization Name: | DICKINSON COUNTY HEALTHCARE SYSTEM |
| NPI Number: | 1083659502 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ALICIA HENDERSON (PHYSICIAN BILLING SUPERVISOR) |
| Mailing Address: | 1711 S Stephenson Ave Suite 210 Iron Mountain |
| State: | MI US |
| Postal Code: | 498013639 |
| Phone Number: | 9067765800 |
| Fax Number: | 9067765801 |
| NPI Enumeration Date: | 06/18/2006 |
| NPI Last Update Date: | 07/22/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR1300X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Rural Health |
| Taxonomy Definition: | |