Organization Active NPI

Dickinson-Iron District Health Department

  • Public Health or Welfare Agency
  • Crystal Falls, MI
National Provider Identifier
1396843041
Registry record updated Aug 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
DICKINSON-IRON DISTRICT HEALTH DEPARTMENT
Practice address
1374 Commercial Ave
Crystal Falls, MI 49920-1085
Phone
(906) 265-9913
Fax
(906) 874-2950
NPI assigned
Sep 20, 2006
Last updated
Aug 16, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2023

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

Authorized official

Name
Tina Edlund
Title
Finance Director
Phone
(906) 265-4196

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X Primary

Addresses

Primary practice location

1374 Commercial Ave
Crystal Falls, MI 49920-1085

Mailing address

1374 Commercial Ave
Crystal Falls, MI 49920-1085
Phone (906) 265-9913

Other identifiers 5

IdentifierTypeStateIssuer
773026341MedicaidMI
233025415MedicaidMI
233025424MedicaidMI
773026299MedicaidMI
600C610040OtherMIBCBS OF MI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050322000636 MI Part B Supplier - Mass Immunization (Roster Biller Only) 9234184326 Practice locations: Crystal Falls, MI; Kingsford, MI

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
23D2028308Dickinson Iron District Health Department1374 Commercial Avenue, Crystal Falls, MI 49920Provider-performed microscopyAug 14, 2027

National Provider Directory

National Provider Directory

Locations

1374 Commercial Ave
Crystal Falls, MI 49920
Phone (906) 265-4196

601 Washington Ave
Iron River, MI 49935
Phone (906) 265-9913

818 Pyle Dr
Kingsford, MI 49802
Phone (906) 774-1868

Practitioners & affiliated clinicians

Practitioners 2

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": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692144000000",
    "number": "1396843041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1374 COMMERCIAL AVE",
            "city": "CRYSTAL FALLS",
            "state": "MI",
            "postal_code": "499201085",
            "telephone_number": "906-265-9913",
            "fax_number": "906-874-2950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1374 COMMERCIAL AVE",
            "city": "CRYSTAL FALLS",
            "state": "MI",
            "postal_code": "499201085",
            "telephone_number": "906-265-9913",
            "fax_number": "906-874-2950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DICKINSON-IRON DISTRICT HEALTH DEPARTMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2023-08-16",
        "certification_date": "2023-08-16",
        "status": "A",
        "authorized_official_last_name": "EDLUND",
        "authorized_official_first_name": "TINA",
        "authorized_official_title_or_position": "FINANCE DIRECTOR",
        "authorized_official_telephone_number": "906-265-4196"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "773026341",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "233025415",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "233025424",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "773026299",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MI",
            "identifier": "600C610040",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Crystal Falls, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.