DICKINSON COUNTY HEALTHCARE SYSTEM (NPI# 1225306418) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225306418 |
| Entity Type | Organization |
| Organization Name | DICKINSON COUNTY HEALTHCARE SYSTEM |
| Other Organization Name | UP SLEEP DISORDERS CENTER |
| Practice Address |
1100 S Carpenter Ave Kingsford MI 49802-5518 |
| Mailing Address |
Po Box 549 Iron Mountain MI 49801-0549 |
| Practice Telephone | 9067765480 |
| Practice Fax Number | 9062280203 |
| Mailing Telephone | 9067741313 |
| Mailing Fax Number | 9067765639 |
| Enumeration Date | 2011-12-02 |
| Last Update Date | 2015-06-17 |
| Authorized Official Name | ALICIA HENDERSON (PHYSICIAN BILLING SUPERVISOR) |
| Authorized Official Telephone | 9067765665 |
| Authorized Official Credential | CPC, CCP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2080S0012X |
Pediatrics Specialization: Sleep Medicine |
4301088606 | MI | Allopathic & Osteopathic Physicians |
| Y | 207QS1201X |
Family Medicine Specialization: Sleep Medicine |
5101008443 | MI | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| UP Sleep Disorders Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417411760 | Dickinson County Healthcare System | Physician Assistant | 1711 S Stephenson Ave Ste 205, Iron Mountain, MI 49801-3649 | 2019-01-30 |
| 1316317415 | Dickinson County Healthcare System | Durable Medical Equipment & Medical Supplies | 2845 Us Highway 2/41 Ste 101, Bark River, MI 49807-9661 | 2015-10-01 |
| 1538597778 | Dickinson County Healthcare System | Physician Assistant | 431 Hamilton Ave, Kingsford, MI 49802-4513 | 2013-10-25 |
| 1205030053 | Dickinson County Healthcare System | Obstetrics & Gynecology | 1721 S. Shephenson Ave, Ob/gyn Bldg., Iron Mountain, MI 49801-3805 | 2007-06-14 |
| 1114120201 | Dickinson County Healthcare System | Clinic/Center | 2845 Highway Us2 41, Suite 202, Bark River, MI 49807 | 2007-06-07 |
| 1164539672 | Dickinson County Healthcare System | Orthopaedic Surgery | 1711 S Stephenson Ave Ste 100, Iron Mountain, MI 49801-3648 | 2006-08-23 |
| 1346260700 | Dickinson County Healthcare System | Durable Medical Equipment & Medical Supplies | 710 Carpenter Ave, Iron Mountain, MI 49801-3306 | 2006-07-20 |
| 1063443430 | Dickinson County Healthcare System | Home Health | 722 River Avenue, Iron Mountain, MI 49801-3423 | 2006-07-05 |
| 1699719310 | Dickinson County Healthcare System | Family Medicine | 536 Kenny Dr, Wausaukee, WI 54177-9627 | 2006-06-15 |
| 1639112774 | Dickinson County Healthcare System | Clinic/Center | W4243 M69, Felch, MI 49831-9800 | 2006-06-14 |
| Street Address |
1100 S CARPENTER AVE |
| City | KINGSFORD |
| State | MI |
| Zip Code | 49802-5518 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689699662 | John Anthony Sand | Family Medicine | 1100 S Carpenter Ave, Kingsford, MI 49802-5518 | 2006-07-12 |
| 1306335021 | Bellin Health Iron Mountain Inc | Pediatrics | 1100 S Carpenter Ave, Kingsford, MI 49802-5518 | 2018-05-08 |
| 1952899122 | Bellin Health Iron Mountain Inc | Neuromusculoskeletal Medicine & OMM | 1100 S Carpenter Ave, Kingsford, MI 49802-5518 | 2018-04-24 |
| 1265515977 | Barry Duane Johnson | Neuromusculoskeletal Medicine & OMM | 1100 S Carpenter Ave, Kingsford, MI 49802-5518 | 2006-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154711398 | Matthew Giordanelli | Physical Therapist | 808 Terrace Ave, Kingsford, MI 49802 | 2015-01-26 |
| 1205186632 | Integrated First Response-great Lakes | Ambulance | 2260 Woodward Ave, Kingsford, MI 49802 | 2012-09-13 |
| 1104006469 | Home Healthcare Professionals | Home Health | 733 Cass Ave, Kingsford, MI 49802 | 2007-11-05 |
| 1619072279 | Robert Joseph D Amour | Dentist | 1075 Woodward Ave, Suite A, Kingsford, MI 49802 | 2006-09-14 |
| 1891218038 | Catherine Olson | Registered Nurse | 715 Pyle Dr, Kingsford, MI 49802 | 2017-07-19 |
| 1689603839 | Linda M Opsahl | Nurse Practitioner | 800 East Blvd, Kingsford, MI 49802 | 2006-07-01 |
| 1730125436 | James A Hicks | Chiropractor | 815 Pyle Drive, Family Chiropractic Clinic PC, Kingsford, MI 49802 | 2006-06-21 |
| 1063557270 | Biancos Physical Therapy & Wellness Center | Physical Therapist | 601 S Westwood Ave, Kingsford, MI 49802-1109 | 2007-02-21 |
| 1235274432 | Danny J Bianco | Physical Therapist | 601 S Westwood Ave, Kingsford, MI 49802-1109 | 2007-02-21 |
| 1639214844 | Jodi Wadge | Physical Therapist | 601 S Westwood Ave, Kingsford, MI 49802-1109 | 2007-02-21 |
| Find all providers in zip 49802 | ||||
| Taxonomy Code | 207QS1201X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Sleep Medicine |
| A Family Medicine Physician who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. Sleep specialists treat patients of any age and use multidisciplinary approaches. Disorders managed by sleep specialists include, but are not limited to, sleep related breathing disorders, insomnia, hypersomnias, circadian rhythm sleep disorders, parasomnias and sleep related movement disorders. |
| Notes: Source: American Academy of Sleep Medicine, 2008, www.aasm.org [7/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053757849 | Ferris Alkazir | Family Medicine | 550 Munson Ave, Traverse City, MI 49686-3580 | 2013-05-20 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.