Organization Name: | IRON COUNTY COMMUNITY HOSPITALS, INC. |
NPI Number: | 1295926970 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | GLENN E DOBSON (CFO) |
Mailing Address: | 1400 W Ice Lake Rd Iron River |
State: | MI US |
Postal Code: | 499359526 |
Phone Number: | 9062656121 |
Fax Number: | |
NPI Enumeration Date: | 08/07/2007 |
NPI Last Update Date: | 08/07/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133VN1006X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Dietary & Nutritional Service Providers |
Taxonomy Classification: | Dietitian, Registered |
Taxonomy Specialization: | Nutrition, Metabolic |
Taxonomy Definition: |