NPIMap

Organization Active NPI

Dickinson County Healthcare System

Doing business as Marshfield Medical Center - Dickinson (Swing Bed)

  • Medicare Defined Swing Bed Hospital Unit
  • Iron Mountain, MI
National Provider Identifier
1205867686
Registry record updated Oct 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X
Legal business name
DICKINSON COUNTY HEALTHCARE SYSTEM
Doing business as
Marshfield Medical Center - Dickinson (Swing Bed)
Practice address
1721 S Stephenson Ave
Iron Mountain, MI 49801-3637
Phone
(906) 774-1313
Fax
(906) 776-5639
NPI assigned
Jul 5, 2006
Last updated
Oct 19, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
MARSHFIELD CLINIC HEALTH SYSTEM INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 19, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jolyn Munson
Title
VP Revenue Cycle Operations
Phone
(605) 328-6585

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X Primary

Addresses

Primary practice location

1721 S Stephenson Ave
Iron Mountain, MI 49801-3637

Mailing address

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

Other names 1

  • Marshfield Medical Center - Dickinson (Swing Bed) Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Cobius Healthcare Solutions

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100909000523 MI Part A Provider - Hospital 6800784943 1 other NPI on this enrollment
Practice locations: Iron Mountain, MI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1205867686. Details of each certification follow.

Hospital certification: CCN 23U055

Legal name
DICKINSON COUNTY HEALTHCARE SYSTEM
Doing business as
MARSHFIELD MEDICAL CENTER - DICKINSON (SWING BED)
Organization structure
CorporationNon-profit
Enrollment address
1721 S Stephenson Ave
Iron Mountain, MI 49801-3637
Hospital Swing-Bed Unit
Hospital subgroups
Swing-bed approved

Other NPIs with the same Medicare PAC ID 14

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

View all 14

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Family Practice Associa18 organizations share this tax ID, including this one
Part of
Marshfield Clinic Health System Inc

Other organizations with this tax ID 17

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

View all 17

Member of 1

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

  • MCHS Hospitals Inc

    dba MCHS Freestanding Clinic Physician Group

    • Internal Medicine Physician
    • Wausau, WI
    • NPI 1164159109

    Member Of

    NPD member

Ownership & related parties

All disclosed owners & managing parties 15

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Brian D Hoerneman Individual Corporate OfficerPresident, Ceo Apr 5, 2023
Corporate DirectorBoard Member Sep 1, 2023
Tony Lee Morrison Individual W-2 Managing EmployeeVP, Chief Revenue Officer Jan 1, 2025
John F Baltus Individual Corporate OfficerTreasurer, Secretary, Vice Chair Sep 8, 2023
Corporate DirectorBoard Member Feb 3, 2016
Jolyn Joy Munson Individual W-2 Managing EmployeeVP Revenue Cycle Operations Jan 1, 2025
Dennis H Smith Individual Corporate DirectorBoard Member Jan 14, 2025
Jeffrey Douglas Poppen Individual Corporate OfficerCfo - MCHS Region Jun 12, 2025
W-2 Managing EmployeeCfo - MCHS Region Jun 12, 2025
Edward G Fernandez Individual Corporate OfficerChair Jan 1, 2025
Corporate DirectorBoard Member Sep 9, 2023
MCHS Hospitals Inc Organization, Marshfield, WI Corporation, Non-profit 5% Or Greater Direct Ownership Interest Feb 3, 2022 100%
Samantha L Klebe Individual Corporate DirectorBoard Member Sep 9, 2023
W-2 Managing EmployeeChief Physician Jan 1, 2025
Linda Laverne Procci Individual Corporate DirectorBoard Member Feb 1, 2025
Sanford Organization, Fargo, ND Corporation, Non-profit, Chain home office 5% Or Greater Indirect Ownership Interest Jan 1, 2025 100%
Everett W Newcomb Individual Corporate DirectorBoard Member Sep 13, 2024
Marshfield Clinic Health System Inc Organization, Marshfield, WI Non-profit 5% Or Greater Indirect Ownership Interest Feb 3, 2022 100%
Douglas Mathison Individual Corporate DirectorBoard Member Dec 15, 2020
Nicholas Wayne Olson Individual W-2 Managing EmployeeCfo - Sanford, Executive VP Jan 1, 2025

Owners & managing parties with NPI records 3

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 41

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 41

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1792368000000",
    "number": "1205867686",
    "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 SERVICES - 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": "1721 S STEPHENSON AVE",
            "city": "IRON MOUNTAIN",
            "state": "MI",
            "postal_code": "498013637",
            "telephone_number": "906-774-1313",
            "fax_number": "906-776-5639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DICKINSON COUNTY HEALTHCARE SYSTEM",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MARSHFIELD CLINIC HEALTH SYSTEM INC",
        "enumeration_date": "2006-07-05",
        "last_updated": "2026-10-19",
        "certification_date": "2026-10-19",
        "status": "A",
        "authorized_official_last_name": "MUNSON",
        "authorized_official_first_name": "JOLYN",
        "authorized_official_title_or_position": "VP REVENUE CYCLE OPERATIONS",
        "authorized_official_telephone_number": "605-328-6585"
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1068.1",
            "affiliationName": "Cobius Healthcare Solutions",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "2720 Dundee Rd # 302",
            "city": "Northbrook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600622609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Marshfield Medical Center - Dickinson (Swing Bed)",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Iron Mountain, MI

Sources for this page

Verify at the official NPI Registry.