| Organization Name: | DICKINSON COUNTY HEALTHCARE SYSTEM |
| NPI Number: | 1114120201 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DEANNA R CHRISTESEN (PATIENT ADMINISTRATION MANAGER) |
| Mailing Address: | 2845 Highway Us2 41 Suite 202 Bark River |
| State: | MI US |
| Postal Code: | 49807 |
| Phone Number: | 9064662650 |
| Fax Number: | |
| NPI Enumeration Date: | 06/07/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR0200X |
| License Number: | 220020 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Radiology |
| Taxonomy Definition: | |