DICKINSON COUNTY HEALTHCARE SYSTEM
NPI 1205030053
Clinic/Center - Rural Health in Iron Mountain, MI

NPI Status: Active since June 14, 2007

Contact Information

1721 S STEPHENSON AVE
IRON MOUNTAIN, MI
ZIP 49801
Phone: (906) 776-5982

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  • Organization
  • Clinic/Center
  • Rural Health
  • Accepts Insurance
  • CLIA Number: 23D1024244
  • CLIA Cert. Type: Rural Health Clinic
  • CLIA Exp. Date: 04-05-2026

About DICKINSON COUNTY HEALTHCARE SYSTEM

This page provides the complete NPI Profile along with additional information for Dickinson County Healthcare System, a primary care provider established in Iron Mountain, Michigan operating as a Clinic/center, focusing in rural health . The healthcare provider is registered in the NPI registry with number 1205030053 assigned on June 2007. The practitioner's primary taxonomy code is 261QR1300X with license number 220020 (MI). The provider is registered as an organization and their NPI record was last updated one year ago. The provider's . The authorized official of this NPI record is Jolyn Munson (Vp Revenue Cycle Operations)

NPI
1205030053
Provider Legal Name
DICKINSON COUNTY HEALTHCARE SYSTEM
Other Organization Name
Other Name Type
(6)
Entity Type
Organization
Location Address
1721 S STEPHENSON AVE IRON MOUNTAIN, MI 49801
Location Phone
(906) 776-5982
Mailing Address
1000 N OAK AVE ATTN: PROVIDER ENROLLMENT SERVICES - SHP 2ND FL MARSHFIELD, WI 54449
Mailing Phone
(715) 389-0660
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
06-14-2007
Last Update Date
07-18-2025
Code Navigator

A primary care provider (PCP) like Dickinson County Healthcare System sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Rural Health

Taxonomy Code
261QR1300X
Type
Ambulatory Health Care Facilities
License No.
220020
License State
MI

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Blue Cross� Premier PPO Bronze Extra - PPO
  • Blue Cross� Premier PPO Bronze Saver HSA - PPO
  • Blue Cross� Premier PPO Bronze Secure - PPO
  • Blue Cross� Premier PPO Gold - PPO
  • Blue Cross� Premier PPO Gold Extra - PPO
  • Blue Cross� Premier PPO Silver - PPO
  • Blue Cross� Premier PPO Silver Extra - PPO
  • Blue Cross� Premier PPO Silver Saver HSA - PPO
  • Blue Cross� Premier PPO Value - PPO
  • Sanford Individual TRUE $1,750 - HMO
  • Sanford Individual TRUE $10,600 - HMO
  • Sanford Individual TRUE $3,500 - HMO
  • Sanford Individual TRUE $4,750 - HMO
  • Sanford Individual TRUE $6,500 - HMO
  • Sanford Individual TRUE $7,200 HSA Qualified - HMO
  • Sanford Individual TRUE Standardized $2,000 - HMO
  • Sanford Individual TRUE Standardized $6,000 - HMO
  • Sanford Individual TRUE Standardized $7,500 - HMO
  • Enrich $2,000 - 25% - HMO
  • Enrich $3,500 - 30% - HMO
  • Enrich $4,000 - 50% - HMO
  • Enrich $5,000 HDHP - HMO
  • Enrich $6,000 - 40% - HMO
  • Enrich $7,500 - HMO
  • Enrich $7,500 HDHP - HMO
  • Enrich $9,500 - HMO
  • Enrich Protection - HMO
  • Premier $2,000 - 25% - HMO
  • Premier $3,500 - 30% - HMO
  • Premier $4,000 - 50% - HMO
  • Premier $5,000 HDHP - HMO
  • Premier $6,000 - 40% - HMO
  • Premier $7,500 - HMO
  • Premier $7,500 HDHP - HMO
  • Select $2,000 - 25% - EPO
  • Select $3,500 - 30% - EPO
  • Select $4,000 - 50% - EPO
  • Select $5,000 HDHP - EPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JOLYN MUNSON

Authorized Official Title
VP REVENUE CYCLE OPERATIONS
Authorized Official Phone
(605) 328-6585

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
23D1024244
Facility Type
Rural Health Clinic
Certificate Effective Date
April 06, 2024
Certificate Expiration Date
April 05, 2026
Laboratory Director
LILY MANON
Certificate Type
Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description
This CLIA certificate is issued to Dickinson County Healthcare System in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.

Reviews for DICKINSON COUNTY HEALTHCARE SYSTEM

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1205030053, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 37. The final step is to find the difference between that total and the next multiple of ten (40 - 37 = 3).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
2
Unchanged
Pos 3
0
Doubled → 0
Pos 4
5
Unchanged
Pos 5
0
Doubled → 0
Pos 6
3
Unchanged
Pos 7
0
Doubled → 0
Pos 8
0
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
3
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 0 → 0 0 → 0 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 2 + 0 + 5 + 0 + 3 + 0 + 0 + 1 + 0 + 24 = 37

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 37 is 40. The difference is the calculated check digit.

40 - 37 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1205030053.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Dietitian, Registered
1721 S STEPHENSON AVE
IRON MOUNTAIN, MI 49801
Dietitian, Registered
1721 S STEPHENSON AVE
IRON MOUNTAIN, MI 49801
Emergency Medicine
1721 S STEPHENSON AVE
IRON MOUNTAIN, MI 49801
Emergency Medicine
1721 S STEPHENSON AVE
IRON MOUNTAIN, MI 49801
Radiology (Diagnostic Radiology)
1721 S STEPHENSON AVE
IRON MOUNTAIN, MI 49801
Radiology (Diagnostic Radiology)
1721 S STEPHENSON AVE
IRON MOUNTAIN, MI 49801
Radiology (Diagnostic Radiology)
1721 S STEPHENSON AVE
IRON MOUNTAIN, MI 49801
Nurse Anesthetist, Certified Registered
1721 S STEPHENSON AVE
IRON MOUNTAIN, MI 49801
Anesthesiology
1721 S STEPHENSON AVE
IRON MTN, MI 49801
Nurse Anesthetist, Certified Registered
1721 S STEPHENSON AVE
IRON MOUNTAIN, MI 49801
Anesthesiology
1721 S STEPHENSON AVE
IRON MOUNTAIN, MI 49801
Nurse Anesthetist, Certified Registered
1721 S STEPHENSON AVE
IRON MOUNTAIN, MI 49801
Anesthesiology
1721 S STEPHENSON AVE
IRON MOUNTAIN, MI 49801
Nurse Anesthetist, Certified Registered
1721 S STEPHENSON AVE
IRON MOUNTAIN, MI 49801
Anesthesiology
1721 S STEPHENSON AVE
IRON MOUNTAIN, MI 49801
Radiology (Diagnostic Radiology)
1721 S STEPHENSON AVE
IRON MOUNTAIN, MI 49801
Radiology (Diagnostic Radiology)
1721 S STEPHENSON AVE
IRON MOUNTAIN, MI 49801
Nurse Anesthetist, Certified Registered
1721 S STEPHENSON AVE
IRON MOUNTAIN, MI 49801
Orthopaedic Surgery
1721 S STEPHENSON AVE
IRON MOUNTAIN, MI 49801
Dietitian, Registered
1721 S STEPHENSON AVE
IRON MOUNTAIN, MI 49801

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1205030053, enumerated as an "organization" on June 14, 2007.

The provider is located at 1721 S STEPHENSON AVE IRON MOUNTAIN, MI 49801 and the phone number is (906) 776-5982.

Clinic/Center with taxonomy code 261QR1300X and a focus in Rural Health.

The provider might be accepting Accepts: Blue Cross Blue Shield of Michigan Mutual. Please consult your insurance carrier or call the provider to verify.