DICKINSON COUNTY HEALTHCARE SYSTEM (NPI# 1699719310) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699719310 |
| Entity Type | Organization |
| Organization Name | DICKINSON COUNTY HEALTHCARE SYSTEM |
| Other Organization Name | WAUSAUKEE MEDICAL CENTER |
| Practice Address |
536 Kenny Dr Wausaukee WI 54177-9627 |
| Mailing Address |
Po Box 549 Iron Mountain MI 49801-0549 |
| Practice Telephone | 8777706983 |
| Practice Fax Number | 7158566985 |
| Mailing Telephone | 8778806983 |
| Mailing Fax Number | 7158566985 |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2013-04-15 |
| 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 | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 21257100 | 05 |
| Other Name | Type Code |
|---|---|
| Wausaukee Medical 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 |
| 1639112774 | Dickinson County Healthcare System | Clinic/Center | W4243 M69, Felch, MI 49831-9800 | 2006-06-14 |
| 1801838974 | Dickinson County Healthcare System | Orthopaedic Surgery | 1005 S Hemlock St, Iron Mountain, MI 49801-3854 | 2006-06-12 |
| Street Address |
536 KENNY DR |
| City | WAUSAUKEE |
| State | WI |
| Zip Code | 54177-9627 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063901858 | Bellin Health Iron Mountain Inc | Family Medicine | 536 Kenny Dr, Wausaukee, WI 54177-9627 | 2018-05-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033389283 | David Moss | Registered Nurse | 308 Harrison Ave, Wausaukee, WI 54177 | 2008-03-04 |
| 1235307612 | Wausaukee Rescue Squad, Inc. | Ambulance | 429 Harrison Ave., Wausaukee, WI 54177 | 2008-02-19 |
| 1790013076 | Wausaukee Pharmacy Inc | Pharmacy | 703 Main St, Ste 2, Wausaukee, WI 54177 | 2009-11-25 |
| 1326184326 | Diane Sharon Runge | Licensed Practical Nurse | W6849 Creek Rd, Wausaukee, WI 54177-8956 | 2007-01-29 |
| 1154501773 | Vicky M. Plas | Registered Nurse | N9129 Just Rd, Wausaukee, WI 54177-9037 | 2007-11-12 |
| 1245403583 | Wausaukee School District | Local Education Agency (LEA) | N11941 Us Highway 141, Wausaukee, WI 54177-9300 | 2008-04-08 |
| 1457689705 | Megs Pharmacy Inc | Pharmacy | 825 Main St, Wausaukee, WI 54177-9773 | 2009-11-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245403583 | Wausaukee School District | Local Education Agency (LEA) | N11941 Us Highway 141, Wausaukee, WI 54177-9300 | 2008-04-08 |
| 1033389283 | David Moss | Registered Nurse | 308 Harrison Ave, Wausaukee, WI 54177 | 2008-03-04 |
| 1235307612 | Wausaukee Rescue Squad, Inc. | Ambulance | 429 Harrison Ave., Wausaukee, WI 54177 | 2008-02-19 |
| 1154501773 | Vicky M. Plas | Registered Nurse | N9129 Just Rd, Wausaukee, WI 54177-9037 | 2007-11-12 |
| 1326184326 | Diane Sharon Runge | Licensed Practical Nurse | W6849 Creek Rd, Wausaukee, WI 54177-8956 | 2007-01-29 |
| 1457689705 | Megs Pharmacy Inc | Pharmacy | 825 Main St, Wausaukee, WI 54177-9773 | 2009-11-25 |
| 1790013076 | Wausaukee Pharmacy Inc | Pharmacy | 703 Main St, Ste 2, Wausaukee, WI 54177 | 2009-11-25 |
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770123218 | Mchs Hospitals, Inc. | Clinic/Center | 3606 Schneider Ave Se, Menomonie, WI 54751-5674 | 2020-01-13 |
| 1639733173 | Lafayette County | Clinic/Center | 107 Center Street, Argyle, WI 53504 | 2019-04-30 |
| 1942712344 | Divine Savior Healthcare, Inc. | Clinic/Center | N4390 Crossroads Clinic Road, Oxford, WI 53952 | 2017-10-26 |
| 1861904294 | Divine Savior Healthcare, Inc. | Clinic/Center | 102 Gillette Street, Pardeeville, WI 53954 | 2017-10-25 |
| 1366878449 | Amery Regional Medical Center, Inc | Clinic/Center | 357 Third Ave, Clear Lake, WI 54005-0177 | 2013-09-19 |
| 1851652374 | St. Croix Regional Medical Center | Clinic/Center | 26425 Lakeland Avenue South, Webster, WI 54893-8341 | 2012-05-31 |
| 1811256126 | St. Croix Regional Medical Center | Clinic/Center | 205 West Oak Street, Frederic, WI 54837 | 2012-05-07 |
| 1508198961 | Door County Memorial Hospital | Clinic/Center | 3711 Highway 42, Fish Creek, WI 54212 | 2010-02-09 |
| 1174627483 | Door County Memorial Hospital | Clinic/Center | 910 Main Rd, Washington Island, WI 54246 | 2006-09-08 |
| 1881607463 | St. Joseph's Health Services, Inc | Clinic/Center | 301 Railroad Rd, Wonewoc, WI 53968-9425 | 2006-08-14 |
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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.