DICKINSON IRON COMMUNITY SERVICES AGENCY (NPI# 1780800672) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780800672 |
| Entity Type | Organization |
| Organization Name | DICKINSON IRON COMMUNITY SERVICES AGENCY |
| Practice Address |
800 Crystal Lake Blvd Ste 104 Iron Mountain MI 49801-2765 |
| Practice Telephone | 9067742256 |
| Practice Fax Number | 9067742257 |
| Mailing Telephone | 9067742256 |
| Mailing Fax Number | 9067742257 |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. PATRICIA CHRISTIE (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 9067742256 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 385H00000X | Respite Care | Respite Care Facility |
| Street Address |
800 CRYSTAL LAKE BLVD STE 104 |
| City | IRON MOUNTAIN |
| State | MI |
| Zip Code | 49801-2765 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770008062 | John M Baccino | Dietitian, Registered | 325 E H St # 133, Iron Mountain, MI 49801 | 2017-08-08 |
| 1699148692 | Bd Baker Rentals LLC | Optometrist | 2100 Aragon Street, Iron Mountain, MI 49801 | 2015-11-12 |
| 1083044762 | Integrated First Response-great Lakes | Ambulance | 719 River Avenue, Iron Mountain, MI 49801 | 2013-11-18 |
| 1912340936 | Andrew James Tomlinson | Social Worker | Iron Mountain Va, 325 East H Street, Iron Mountain, MI 49801 | 2013-04-09 |
| 1902196702 | Daniel John Fornetti | Dentist | 100 S. Stephenson Ave., Iron Mountain, MI 49801 | 2011-04-13 |
| 1871815613 | Colleen Ann Sleik | Physical Therapist | Bellin Health Physical Therapy Iron Moutain, 440 Woodward Ave, Iron Mountain, MI 49801 | 2010-02-21 |
| 1679714083 | Great Lakes Recovery Centers, Inc. | Clinic/Center | 1401 N. 26th Street, Suite 109, Escanaba, MI 49801 | 2009-03-13 |
| 1831349539 | Amanda Jane Petti | Dietitian, Registered | 300 E H Street, Nutrition & Food Service, Iron Mountain, MI 49801 | 2008-09-30 |
| 1891946521 | Riki Rouse | Hearing Instrument Specialist | W8065 S Us Hwy 2/141, Iron Mountain, MI 49801 | 2008-09-30 |
| 1366690612 | Greenlund Enterpries, Inc | Hearing Aid Equipment | W8065 S. Us High 2/141, Suite #13, Iron Mountain, MI 49801 | 2008-08-28 |
| Find all providers in zip 49801 | ||||
| Taxonomy Code | 385H00000X |
| Grouping | Respite Care Facility |
| Classification | Respite Care |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649810755 | Our Syncere Hearts LLC | Respite Care | 5836 N Marsh Bank Ln Apt 203, Clarkston, MI 48346-3098 | 2020-01-07 |
| 1184180903 | Just Like Home Quality Care | Respite Care | 1602 Waldman Ave, Flint, MI 48507-1509 | 2019-02-17 |
| 1568927317 | Trustcare Group Home, Inc. | Respite Care | 15565 Northland Dr W Ste 604, Southfield, MI 48075-5319 | 2019-02-06 |
| 1992209142 | Thomas Hart | Respite Care | 2786 Cecelia St, Saginaw, MI 48602-5742 | 2018-03-22 |
| 1467962167 | St. Joseph Community Co-operative, Inc. | Respite Care | 811 Broadus St, Sturgis, MI 49091-2401 | 2017-10-07 |
| 1972029353 | Cherub Enterprises | Respite Care | 120 S. Main Street, Plainwell, MI 49080 | 2017-08-17 |
| 1902330632 | Diamonds of My Heart | Respite Care | 11884 E 10 Mile Rd, Warren, MI 48089-3901 | 2017-04-19 |
| 1528592664 | Advanta Medical Staffing & Consulting Services LLC | Respite Care | 61061 Preakness Blvd, South Lyon, MI 48178-8215 | 2017-04-15 |
| 1003340266 | Senior's Choice Adult Day Program | Respite Care | 17401 Mack Ave, Detroit, MI 48224-1437 | 2017-04-14 |
| 1326579269 | Just Us Club | Respite Care | 1735 S Wagner Rd, Ann Arbor, MI 48103-9715 | 2017-03-22 |
| Find all providers with the same taxonomy | ||||
| City | IRON MOUNTAIN |
| Zip Code | 49801 |
Please comment or provide details below to improve the information on DICKINSON IRON COMMUNITY SERVICES AGENCY.
| 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.