NPIMap

Organization Active NPI

Aspirus Iron River Hospital & Clinics, Inc.

Doing business as Aspirus Ice Lake Clinic

  • Rural Health Clinic/Center
  • Iron River, MI
National Provider Identifier
1891043345
Registry record updated Sep 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
ASPIRUS IRON RIVER HOSPITAL & CLINICS, INC.
Doing business as
Aspirus Ice Lake Clinic
Practice address
1300 W Ice Lake Rd
Iron River, MI 49935-8507
Phone
(906) 265-9189
NPI assigned
Aug 15, 2012
Last updated
Sep 16, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2015

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

Authorized official

Name
Glenn Dobson
Title
Cfo
Phone
(906) 265-0436

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Primary

Addresses

Primary practice location

1300 W Ice Lake Rd
Iron River, MI 49935-8507

Mailing address

1400 W Ice Lake Rd
Iron River, MI 49935-9526
Phone (906) 265-6121

Other names 1

  • Aspirus Ice Lake Clinic Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Crystal Falls Comm Hosp11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

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

NPI Registry JSON

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

{
    "created_epoch": "1344988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442361600000",
    "number": "1891043345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 W ICE LAKE RD",
            "city": "IRON RIVER",
            "state": "MI",
            "postal_code": "499359526",
            "telephone_number": "906-265-6121",
            "fax_number": "906-265-4245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 W ICE LAKE RD",
            "city": "IRON RIVER",
            "state": "MI",
            "postal_code": "499358507",
            "telephone_number": "906-265-9189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASPIRUS IRON RIVER HOSPITAL & CLINICS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-15",
        "last_updated": "2015-09-16",
        "status": "A",
        "authorized_official_last_name": "DOBSON",
        "authorized_official_first_name": "GLENN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "906-265-0436"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aspirus Ice Lake Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Iron River, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2015; 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.