| Dickinscon Convenient Care Clinic | |
|
1721 S Stephenson Ave Iron Mountain MI 49801-3637 | |
| (906) 774-1313 | |
| (906) 776-5639 |
| Full Name | Dickinscon Convenient Care Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 1721 S Stephenson Ave, Iron Mountain, Michigan |
| Authorized Official Name and Position | Charles Nelson (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 9067741313 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dickinscon Convenient Care Clinic Po Box 549 Iron Mountain MI 49801-0549 Ph: (906) 774-1313 | Dickinscon Convenient Care Clinic 1721 S Stephenson Ave Iron Mountain MI 49801-3637 Ph: (906) 774-1313 |
| NPI Number | 1891723128 |
|---|---|
| Provider Enumeration Date | 06/28/2006 |
| Last Update Date | 11/26/2019 |
| Medicare PECOS PAC ID | 6800784943 |
|---|---|
| Medicare Enrollment ID | O20100325000785 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891723128 | NPI | - | NPPES |
| 43058200 | Medicaid | WI | |
| 16126 | Other | MI | BCBS FACILITY CODE RHC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Secondary |
| 261QU0200X | Clinic/center - Urgent Care | (* (Not Available)) | Primary |
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