| Organization Name: | DICKINSON COUNTY HEALTHCARE SYSTEM |
| NPI Number: | 1558535831 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ALICIA R HENDERSON (PHYSICIAN BILLING SUPERVISOR) |
| Mailing Address: | 1100 S Carpenter Ave Kingsford |
| State: | MI US |
| Postal Code: | 498025518 |
| Phone Number: | 9067765480 |
| Fax Number: | 9062280203 |
| NPI Enumeration Date: | 04/17/2008 |
| NPI Last Update Date: | 06/19/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 204D00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Neuromusculoskeletal Medicine & OMM |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |