NPIMap

Organization Active NPI

Dickinson County Healthcare System

Doing business as Marshfield Medical Center - Dickinson

  • General Acute Care Hospital
  • Iron Mountain, MI
National Provider Identifier
1801887013
Registry record updated Jul 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
220020 Issued in MI
Legal business name
DICKINSON COUNTY HEALTHCARE SYSTEM
Doing business as
Marshfield Medical Center - Dickinson
Practice address
1721 S Stephenson Ave
Iron Mountain, MI 49801-3637
Phone
(906) 774-1313
Fax
(906) 776-5639
NPI assigned
Nov 4, 2005
Last updated
Jul 18, 2025By 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 Jul 18, 2025

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
General Acute Care Hospital 282N00000X 220020 MI 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 2ND FL
Marshfield, WI 54449-5703
Phone (715) 389-0660

Other names 1

  • Marshfield Medical Center - Dickinson Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI3 enrollments

Enrollment records 3

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…
O20050623000153 MI Part B Supplier - Clinic/Group Practice 6800784943 Receives reassigned benefits from 13 practitioners
23 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Iron Mountain, MI; Norway, MI; Marquette, MI; Kingsford, MI; Ishpeming, MI; Iron River, MI; Bark River, MI
O20100909000523 MI Part A Provider - Hospital 6800784943 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Iron Mountain, MI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1801887013. 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 on the same Medicare enrollment 21

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

View all 21

National Provider Directory

National Provider Directory
Part of
Marshfield Clinic Health System Inc

Member of 1

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

Locations

505 N Hooper St
Kingsford, MI 49802
Phone (906) 776-9003

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.

Practitioners & affiliated clinicians

Practitioners 14

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 14

NPI Registry JSON

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

{
    "created_epoch": "1131062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752796800000",
    "number": "1801887013",
    "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 2ND FL",
            "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": "2005-11-04",
        "last_updated": "2025-07-18",
        "certification_date": "2025-07-18",
        "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": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "MI",
            "license": "220020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Marshfield Medical Center - Dickinson",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Iron Mountain, MI

Sources for this page

Verify at the official NPI Registry.