Organization · Type 2 NPI

Dickinson County Healthcare System

End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Iron Mountain, MI

NPI number 1689602807 Active

Practice location

1711 S Stephenson Ave
Iron Mountain, MI 49801-3639

Call (906) 776-5640 Map

Fax (906) 776-5639

Mailing address

1000 N Oak Ave, Attn: Provider Enrollment Services/wwp
Marshfield, WI 54449-5703

Specialties and licenses

Taxonomy	Code	License
End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary	261QE0700X	None listed

End-Stage Renal Disease (ESRD) Treatment Clinic/Center: Definition to come...

40 other providers at this address

Other end-stage renal disease (esrd) treatment clinic/center providers in Iron Mountain

Bio-Medical Applications of Michigan, Inc.End-Stage Renal Disease (ESRD) Treatment Clinic/Center Iron Mountain, MI NPI 1265687016

See all in Iron Mountain →

NPI record

NPI: 1689602807
Entity type: Organization (Type 2)
Issued: Jun 28, 2006
Last updated: Jun 16, 2022
Status: Active
Subpart: Yes of Marshfield Clinic Health System Inc

Other names

<unavail>
(inactive)dickinson Renal Dialysis Center · doing business as

Authorized official

Charles Nelson
CEO
(906) 776-5500

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1689602807

Dickinson County Healthcare System's National Provider Identifier is 1689602807, issued on Jun 28, 2006. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Iron Mountain, MI. The record was last updated on Jun 16, 2022.