# DICKINSON COUNTY HEALTHCARE SYSTEM

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Dickinson-Marquette Medical Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1831408459
- **Authorized official:** ALICIA HENDERSON CPC, CCP (PHYSICIAN BILLING SUPERVISOR)
- **Authorized official phone:** (906) 776-5665

## Contact information

- **Practice address:** 800 EAST BLVD, KINGSFORD, MI 49802-4436
- **Practice address phone:** (906) 774-4000
- **Practice address fax:** (906) 774-0088
- **Mailing address:** PO BOX 549, IRON MOUNTAIN, MI 49801-0549
- **Mailing address phone:** (906) 774-1313
- **Mailing address fax:** (906) 776-5639

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 09/30/2010
- **Last updated:** 09/30/2010