NPIMap

Organization Active NPI

Dickinson County Healthcare System

Doing business as Marshfield Medical Center - Dickinson Professional Services

  • Emergency Medical Services (Emergency Medicine) Physician
  • Iron Mountain, MI
National Provider Identifier
1891751186
Registry record updated Apr 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medical Services (Emergency Medicine) PhysicianTaxonomy code 207PE0004X
Legal business name
DICKINSON COUNTY HEALTHCARE SYSTEM
Doing business as
Marshfield Medical Center - Dickinson Professional Services
Practice address
1721 S Stephenson Ave
Iron Mountain, MI 49801-3637
Phone
(906) 774-1313
Fax
(906) 776-5639
NPI assigned
Apr 25, 2006
Last updated
Apr 14, 2026By 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 Apr 14, 2026

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 15

Specialty (taxonomy)CodeLicenseStatePrimary
Neuromusculoskeletal Medicine & OMM Physician 204D00000X NU
Emergency Medical Services (Emergency Medicine) Physician 207PE0004X NU Primary
Family Medicine Physician 207Q00000X NU
Internal Medicine Physician 207R00000X NU
Nephrology Physician 207RN0300X NU
Obstetrics & Gynecology Physician 207V00000X NU
Orthopaedic Surgery Physician 207X00000X NU
Otolaryngology Physician 207Y00000X NU
Cytopathology Physician 207ZC0500X NU
Pediatrics Physician 208000000X NU
Neurology Physician 2084N0400X NU
Diagnostic Radiology Physician 2085R0202X NU
Surgery Physician 208600000X NU
Physician Assistant 363A00000X NU
Family Nurse Practitioner 363LF0000X NU

Addresses

Primary practice location

1721 S Stephenson Ave
Iron Mountain, MI 49801-3637

Mailing address

1000 N Oak Ave
Attn: Provider Enrollment Coordinator SHP FL 2
Marshfield, WI 54449-5703
Phone (715) 389-0660

Other practice location 1

1711 S Stephenson Ave
Iron Mountain, MI 49801-3639
Phone (906) 774-1313

Other names 1

  • Marshfield Medical Center - Dickinson Professional Services 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, NY, MA, PA, CA, FL, PR, VI, CO, TX, IL, AZ, SC, DC, KS, WA, OH, NV19 enrollments

Enrollment records 19

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
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
Practice locations: Iron Mountain, MI; Norway, MI; Marquette, MI; Kingsford, MI; Ishpeming, MI; Iron River, MI; Bark River, MI
O20240806001696 NY Part B Supplier - Clinic/Group Practice 6800784943 Receives reassigned benefits from 4 practitioners
Practice locations: Brooklyn, NY; East Setauket, NY; New York, NY; Sag Harbor, NY
O20240806001994 MA Part B Supplier - Clinic/Group Practice 6800784943 Receives reassigned benefits from 2 practitioners
Practice locations: Boston, MA; Concord, MA; Falmouth, MA; Wellfleet, MA
O20240808004243 PA Part B Supplier - Clinic/Group Practice 6800784943 Receives reassigned benefits from 3 practitioners
Practice locations: Bear Creek Township, PA; Gibsonia, PA; Pittsburgh, PA
O20240809001901 CA Part B Supplier - Clinic/Group Practice 6800784943 Receives reassigned benefits from 12 practitioners
Practice locations: Los Angeles, CA; Yorba Linda, CA; Valley Village, CA; Santa Monica, CA; Santa Barbara, CA; San Rafael, CA; San Clemente, CA; Rancho Cucamonga, CA…
O20240812000180 FL Part B Supplier - Clinic/Group Practice 6800784943 Receives reassigned benefits from 8 practitioners
Practice locations: Fort Lauderdale, FL; Boca Raton, FL; Sunny Isles Beach, FL; Pensacola Beach, FL; Panama City Beach, FL; Naples, FL; Miami, FL; Highland Beach, FL
O20240812001294 PR Part B Supplier - Clinic/Group Practice 6800784943 Receives reassigned benefits from 2 practitioners
Practice locations: San Juan, PR
O20240812001898 VI Part B Supplier - Clinic/Group Practice 6800784943 Receives reassigned benefits from 1 practitioner
Practice locations: Christiansted, VI
O20240812002413 CO Part B Supplier - Clinic/Group Practice 6800784943 Receives reassigned benefits from 5 practitioners
Practice locations: Durango, CO; Grand Junction, CO; Monument, CO; Steamboat Springs, CO
O20240812003254 TX Part B Supplier - Clinic/Group Practice 6800784943 Receives reassigned benefits from 6 practitioners
Practice locations: Allen, TX; El Paso, TX; Houston, TX; Lubbock, TX; Sugar Land, TX; Webster, TX
O20240812004014 IL Part B Supplier - Clinic/Group Practice 6800784943 Receives reassigned benefits from 3 practitioners
Practice locations: Darien, IL; Orland Park, IL; Western Springs, IL
O20240813001077 AZ Part B Supplier - Clinic/Group Practice 6800784943 Receives reassigned benefits from 9 practitioners
Practice locations: Scottsdale, AZ; Phoenix, AZ; Paradise Valley, AZ; Chandler, AZ; Cave Creek, AZ
O20240814003974 SC Part B Supplier - Clinic/Group Practice 6800784943 Receives reassigned benefits from 6 practitioners
Practice locations: Columbia, SC; Simpsonville, SC; Greenville, SC
O20250325001460 DC Part B Supplier - Clinic/Group Practice 6800784943 Receives reassigned benefits from 1 practitioner
Practice locations: Great Falls, VA
O20260304003388 KS Part B Supplier - Clinic/Group Practice 6800784943 Receives reassigned benefits from 1 practitioner
Practice locations: Lawrence, KS
O20260310000892 WA Part B Supplier - Clinic/Group Practice 6800784943 Receives reassigned benefits from 1 practitioner
Practice locations: Lake Forest Park, WA
O20260310002673 OH Part B Supplier - Clinic/Group Practice 6800784943 Receives reassigned benefits from 2 practitioners
Practice locations: Columbus, OH; Delaware, OH
O20260311004366 NV Part B Supplier - Clinic/Group Practice 6800784943 Receives reassigned benefits from 1 practitioner
Practice locations: Las Vegas, NV

Other NPIs with the same Medicare PAC ID 14

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 14

Other NPIs on the same Medicare enrollment 20

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

View all 20

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

2845 US Highway 2 41
Ste 112
Bark River, MI 49807

2845 US Highway 2 41
Ste 202
Bark River, MI 49807
Phone (906) 466-2650

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

1005 S Hemlock St
Ste 8
Iron Mountain, MI 49801
Phone (906) 774-7647

1005 S Hemlock St
Ste H
Iron Mountain, MI 49801
Phone (906) 774-7647

1707 S Stephenson Ave
Iron Mountain, MI 49801
Phone (906) 776-5960

1711 S Stephenson Ave
Iron Mountain, MI 49801
Phone (906) 776-0550

1711 S Stephenson Ave
Ofc
Iron Mountain, MI 49801
Phone (906) 776-5810

1711 S Stephenson Ave
Ste 110
Iron Mountain, MI 49801
Phone (906) 776-5470

1711 S Stephenson Ave
Ste 115
Iron Mountain, MI 49801
Phone (906) 774-6186

1711 S Stephenson Ave
Ste 115B
Iron Mountain, MI 49801
Phone (906) 776-5805

1711 S Stephenson Ave
Ste 210
Iron Mountain, MI 49801
Phone (906) 776-5800

1721 S Stephenson Ave
#100
Iron Mountain, MI 49801

1721 S Stephenson Ave
#225
Iron Mountain, MI 49801
Phone (906) 776-5860

1721 S Stephenson Ave
Ste A
Iron Mountain, MI 49801
Phone (906) 776-5615

225 W H St
Iron Mountain, MI 49801
Phone (906) 776-5930

440 Woodward Ave
Ste B
Iron Mountain, MI 49801
Phone (906) 828-1832

617 N Stephenson Ave
Iron Mountain, MI 49801
Phone (906) 779-7820

722 River Ave
Iron Mountain, MI 49801
Phone (906) 776-1925

1414 W Fair Ave
Ste 134
Marquette, MI 49855
Phone (906) 225-4500

E807 Gerue St
Stephenson, MI 49887
Phone (906) 753-2321

500 Roosevelt Rd
Niagara, WI 54151
Phone (715) 251-1200

Practitioners & affiliated clinicians

Practitioners 242

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 242

NPI Registry JSON

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

{
    "created_epoch": "1145923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776124800000",
    "number": "1891751186",
    "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 COORDINATOR SHP FL 2",
            "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": [
        {
            "address_1": "1711 S Stephenson Ave",
            "address_purpose": "LOCATION",
            "city": "Iron Mountain",
            "state": "MI",
            "postal_code": "498013639",
            "country_code": "US",
            "telephone_number": "906-774-1313",
            "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 INC",
        "enumeration_date": "2006-04-25",
        "last_updated": "2026-04-14",
        "certification_date": "2026-04-14",
        "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": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207ZC0500X",
            "taxonomy_group": "",
            "desc": "Pathology, Cytopathology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "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": "Marshfield Medical Center - Dickinson Professional Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 14, 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.