Organization
DICKINSON COUNTY HEALTHCARE SYSTEM
Active
Parent organization
MARSHFIELD CLINIC HEALTH SYSTEM INC
Other names
(INACTIVE)Dickinson Renal Dialysis Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
MARSHFIELD CLINIC HEALTH SYSTEM INC
Authorized official
CHARLES NELSON (CEO)
(906) 776-5500
Entity
Organization
Contact information
Practice address
1711 S STEPHENSON AVE, IRON MOUNTAIN, MI 49801-3639
(906) 776-5640
(906) 776-5639
Mailing address
1000 N OAK AVE, ATTN: PROVIDER ENROLLMENT SERVICES/WWP, MARSHFIELD, WI 54449-5703
(715) 389-0660
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
06/28/2006
Last updated
06/16/2022
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