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Dickinson County Healthcare System

Organization Active NPI Radiology Clinic/Center · Bark River, MI

NPI 1114120201 · NPPES record last updated Mar 20, 2025

Key facts

NPI
1114120201
Entity type
Organization (NPI type 2)
Primary specialty
Radiology Clinic/Center 261QR0200X
License
220020 (MI)
Legal business name
DICKINSON COUNTY HEALTHCARE SYSTEM
Practice address
2845 US Highway 2 41
Ste 202
Bark River, MI 49807-9661
Phone
(906) 466-2650
NPI assigned
Jun 7, 2007
Organization subpart
Yes
Parent organization (as reported)
MARSHFIELD CLINIC HEALTH SYSTEM INC

Authorized official

Name
Kathleen A Bressler
Title
Coo, Ao
Phone
(715) 975-6018

Other NPIs with the same Medicare PAC ID 14

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Corporate family (same tax ID) 16

Organizations that report the same tax identification number in the National Provider Directory.

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Practitioners 105

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 105

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MI

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20080331000018 MI Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 6800784943 Practice locations: Bark River, MI

National Provider Directory

Tax ID family
Dickinson County System (17 organizations share this tax ID)
Part of
Marshfield Clinic Health System Inc

Locations

2845 US Highway 2 41
Ste 202
Bark River, MI 49807
Phone (906) 466-2650

1000 N Oak Ave
Marshfield, WI 54449
Phone (715) 387-5111

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X 220020 MI Yes

Addresses

Primary practice location

2845 US Highway 2 41
Ste 202
Bark River, MI 49807-9661

Mailing address

1000 N Oak Ave
Attn: Provider Enrollment Coordinator SHP FL 2
Marshfield, WI 54449-5703
Phone (715) 389-0660

Other names

  • Marshfield Medical Center - Dickinson Bark River Center Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 20, 2025.

{
    "created_epoch": "1181174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742428800000",
    "number": "1114120201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 N OAK AVE",
            "address_2": "ATTN: PROVIDER ENROLLMENT COORDINATOR SHP FL 2",
            "city": "MARSHFIELD",
            "state": "WI",
            "postal_code": "544495703",
            "telephone_number": "715-389-0660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2845 US HIGHWAY 2 41",
            "address_2": "STE 202",
            "city": "BARK RIVER",
            "state": "MI",
            "postal_code": "498079661",
            "telephone_number": "906-466-2650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DICKINSON COUNTY HEALTHCARE SYSTEM",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MARSHFIELD CLINIC HEALTH SYSTEM INC",
        "enumeration_date": "2007-06-07",
        "last_updated": "2025-03-20",
        "certification_date": "2025-03-20",
        "status": "A",
        "authorized_official_last_name": "BRESSLER",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "COO, AO",
        "authorized_official_telephone_number": "715-975-6018"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "MI",
            "license": "220020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Marshfield Medical Center - Dickinson Bark River Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bark River, MI

All providers in Bark River, MI · Radiology Clinic/Center in Michigan

Sources for this page

Verify at the official NPI Registry.