NPIMap

Organization Active NPI

Dickinson County Healthcare System

Doing business as DCHS Freestanding Clinic Physician Group

  • Internal Medicine Physician
  • Marquette, MI
National Provider Identifier
1710693346
Registry record updated Oct 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
DICKINSON COUNTY HEALTHCARE SYSTEM
Doing business as
DCHS Freestanding Clinic Physician Group
Practice address
1414 W Fair Ave
Ste 334
Marquette, MI 49855-5407
Phone
(906) 225-4500
NPI assigned
Jan 26, 2023
Last updated
Oct 19, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
MARSHFIELD CLINIC HEALTH SYSTEMAs 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 J Munson
Title
VP Revenue Cycle Operations
Phone
(605) 328-6585

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary
Hematology & Oncology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RH0003X
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X

Addresses

Primary practice location

1414 W Fair Ave
Ste 334
Marquette, MI 49855-5407

Mailing address

1000 N Oak Ave
Attn: Provider Enrollment Services SHP FL2
Marshfield, WI 54449-5703
Phone (715) 389-0660

Other practice location 1

417 Washington Ave
Iron River, MI 49935-2214
Phone (906) 776-5955

Other practice location 2

2845 US Highway 2 41 STE 203
Bark River, MI 49807-9661
Phone (906) 446-2650

Other practice location 3

901 Lakeshore Dr
Ishpeming, MI 49849-1367
Phone (906) 486-4431

Other practice location 4

717 W Washington St STE C
Marquette, MI 49855-4100
Phone (906) 273-1821

Other practice location 5

1400 Ice Lake Rd
Iron River, MI 49935-9526
Phone (906) 265-0433

Other names 1

  • DCHS Freestanding Clinic Physician Group 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
O20040310000583 MI Part B Supplier - Clinic/Group Practice 6800784943 Receives reassigned benefits from 156 practitioners
27 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Skandia, MI; Novi, MI; Munising, MI; Marquette, MI; Kingsford, MI; Ishpeming, MI; Iron River, MI; Iron Mountain, MI…

Other NPIs on the same Medicare enrollment 19

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

View all 19

National Provider Directory

National Provider Directory
Part of
Marshfield Clinic Health System Inc

Locations

1400 W Ice Lake Rd
Iron River, MI 49935
Phone (906) 265-6121

417 Washington Ave
Iron River, MI 49935
Phone (906) 265-9908

Practitioners & affiliated clinicians

Practitioners 23

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.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1674691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1792368000000",
    "number": "1710693346",
    "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 FL2",
            "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": "1414 W FAIR AVE",
            "address_2": "STE 334",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498555407",
            "telephone_number": "906-225-4500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "417 Washington Ave",
            "address_purpose": "LOCATION",
            "city": "Iron River",
            "state": "MI",
            "postal_code": "499352214",
            "country_code": "US",
            "telephone_number": "906-776-5955",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2845 US Highway 2 41 STE 203",
            "address_purpose": "LOCATION",
            "city": "Bark River",
            "state": "MI",
            "postal_code": "498079661",
            "country_code": "US",
            "telephone_number": "906-446-2650",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "901 Lakeshore Dr",
            "address_purpose": "LOCATION",
            "city": "Ishpeming",
            "state": "MI",
            "postal_code": "498491367",
            "country_code": "US",
            "telephone_number": "906-486-4431",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "717 W Washington St STE C",
            "address_purpose": "LOCATION",
            "city": "Marquette",
            "state": "MI",
            "postal_code": "498554100",
            "country_code": "US",
            "telephone_number": "906-273-1821",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1400 Ice Lake Rd",
            "address_purpose": "LOCATION",
            "city": "Iron River",
            "state": "MI",
            "postal_code": "499359526",
            "country_code": "US",
            "telephone_number": "906-265-0433",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DICKINSON COUNTY HEALTHCARE SYSTEM",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MARSHFIELD CLINIC HEALTH SYSTEM",
        "enumeration_date": "2023-01-26",
        "last_updated": "2026-10-19",
        "certification_date": "2026-10-19",
        "status": "A",
        "authorized_official_last_name": "MUNSON",
        "authorized_official_first_name": "JOLYN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "VP REVENUE CYCLE OPERATIONS",
        "authorized_official_telephone_number": "605-328-6585"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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": "DCHS Freestanding Clinic Physician Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Marquette, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.