Organization Active NPI

Dickinson Iron Community Services Agency

  • Adult Day Care Clinic/Center
  • Iron Mountain, MI
National Provider Identifier
1780800672
Registry record updated Jun 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
DICKINSON IRON COMMUNITY SERVICES AGENCY
Practice address
1238 Carpenter Ave
Iron Mountain, MI 49801-4724
Phone
(906) 774-2256
Fax
(906) 774-2257
NPI assigned
Apr 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2022

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

Authorized official

Name
Kristin Sommerfeld
Title
Executive Director
Phone
(906) 774-2256

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X
Adult Day Care Clinic/Center 261QA0600X Primary
Respite Care 385H00000X

Addresses

Primary practice location

1238 Carpenter Ave
Iron Mountain, MI 49801-4724

Mailing address

1238 Carpenter Ave
Iron Mountain, MI 49801-4724
Phone (906) 774-2256

National Provider Directory

National Provider Directory

Locations

1238 Carpenter Ave
Iron Mountain, MI 49801
Phone (906) 774-2256

800 Crystal Lake Blvd
Ste 104
Iron Mountain, MI 49801

NPI Registry JSON

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654646400000",
    "number": "1780800672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1238 CARPENTER AVE",
            "city": "IRON MOUNTAIN",
            "state": "MI",
            "postal_code": "498014724",
            "telephone_number": "906-774-2256",
            "fax_number": "906-774-2257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1238 CARPENTER AVE",
            "city": "IRON MOUNTAIN",
            "state": "MI",
            "postal_code": "498014724",
            "telephone_number": "906-774-2256",
            "fax_number": "906-774-2257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DICKINSON IRON COMMUNITY SERVICES AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-18",
        "last_updated": "2022-06-08",
        "certification_date": "2022-06-08",
        "status": "A",
        "authorized_official_last_name": "SOMMERFELD",
        "authorized_official_first_name": "KRISTIN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "906-774-2256"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Iron Mountain, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.