| Marshfield Medical Center - Dickinson Primary Care , Rhc | |
|
1711 S Stephenson Ave Ste 210 Iron Mountain MI 49801-3649 | |
| (906) 776-5800 | |
| (906) 776-5801 |
| Full Name | Marshfield Medical Center - Dickinson Primary Care , Rhc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1711 S Stephenson Ave Ste 210, Iron Mountain, Michigan |
| Authorized Official Name and Position | Kathleen Bressler (COO, AO) |
| Authorized Official Contact | 7159756018 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Marshfield Medical Center - Dickinson Primary Care , Rhc 1000 N Oak Ave Attn: Provider Enrollment Coordinator Shp Fl 2 Marshfield WI 54449-5703 Ph: (715) 389-0660 | Marshfield Medical Center - Dickinson Primary Care , Rhc 1711 S Stephenson Ave Ste 210 Iron Mountain MI 49801-3649 Ph: (906) 776-5800 |
| NPI Number | 1083659502 |
|---|---|
| Provider Enumeration Date | 06/18/2006 |
| Last Update Date | 09/11/2024 |
| Medicare PECOS PAC ID | 6800784943 |
|---|---|
| Medicare Enrollment ID | O20101020000306 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083659502 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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