Organization
DICKINSON COUNTY HEALTHCARE SYSTEM
Active
Other names
Nordic Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
ALICIA HENDERSON CPC, CCP (PHYSICIAN BILLING SUPERVISOR)
(906) 776-5665
Entity
Organization
Contact information
Practice address
W4243 M69, FELCH, MI 49831-9800
(906) 246-3800
(906) 774-4509
Mailing address
PO BOX 549, IRON MOUNTAIN, MI 49801-0549
(906) 246-3800
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
261QR1300X
Rural Health Clinic/Center
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16125
BCBS FACILITY CODE RHC
MI
01
—
23-8558
RHC MEDICARE PIN
MI
05
—
43061200
—
WI
Enumeration date
06/14/2006
Last updated
07/22/2013
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