DAKOTA CLINIC, LTD. (NPI# 1043261621) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043261621 |
| Entity Type | Organization |
| Organization Name | DAKOTA CLINIC, LTD. |
| Other Organization Name | DAKOTA CLINIC, LTD. - LAKE PARK |
| Practice Address |
2049 2nd St Lake Park MN 56554-4000 |
| Mailing Address |
Po Box 727 Detroit Lakes MN 56502-0727 |
| Practice Telephone | 2182385901 |
| Practice Fax Number | 2188442444 |
| Mailing Telephone | 2188442300 |
| Mailing Fax Number | 2188442444 |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | LARRY G SOLBERG (ADMINISTRATOR-AUTHORIZED OFFICIAL) |
| Authorized Official Telephone | 7013643405 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Dakota Clinic, Ltd. - Lake Park | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770537680 | Dakota Clinic, Ltd. | Family Medicine | Highway 371, Walker, MN 56484 | 2006-05-22 |
| 1245284157 | Dakota Clinic, Ltd. | Family Medicine | 212 Aspen Ave Ne, Menagha, MN 56464 | 2006-05-22 |
| 1467406181 | Dakota Clinic, Ltd. | Family Medicine | 600 Water Street E, Medina, ND 58467 | 2006-05-19 |
| 1083666176 | Dakota Clinic, Ltd. | Family Medicine | 5 9th Ave N, Casselton, ND 58012-3339 | 2006-05-17 |
| 1679525745 | Dakota Clinic, Ltd. | Family Medicine | 2710 Broadway N, Fargo, ND 58102-1408 | 2006-05-17 |
| 1114978814 | Dakota Clinic, Ltd. | Family Medicine | 114 W Main Ave, Frazee, MN 56544-4217 | 2006-05-15 |
| 1932150646 | Dakota Clinic, Ltd. | Family Medicine | 132 4th Ave Ne, Valley City, ND 58072-3250 | 2006-05-15 |
| 1457302176 | Dakota Clinic, Ltd. | Family Medicine | 501 Main Ave S, Hankinson, ND 58041-4108 | 2006-05-15 |
| 1639120983 | Dakota Clinic, Ltd. | Family Medicine | 102 Sather Dr, Fosston, MN 56542-1531 | 2006-05-12 |
| 1336190693 | Dakota Clinic, Ltd. | Family Medicine | 401 3rd St Se, Jamestown, ND 58401-4247 | 2006-05-12 |
| Street Address |
2049 2ND ST |
| City | LAKE PARK |
| State | MN |
| Zip Code | 56554-4000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851730113 | Deanne Marie Anderson | Pharmacist | 2040 Second St, Lake Park, MN 56554 | 2013-06-20 |
| 1093892754 | Ind School Dist 2889 | Local Education Agency (LEA) | 429 Lake Street, Lake Park, MN 56554 | 2006-11-01 |
| 1548604309 | St. Mary's Regional Health Center | Family Medicine | 1005 1st St, Lake Park, MN 56554-4311 | 2013-04-24 |
| 1689297095 | Andraya Therese Parenteau | Behavior Technician | 14445 County Highway 5, Lake Park, MN 56554-9121 | 2020-05-20 |
| 1225281140 | Debra K Thomas | Registered Nurse | 13895 County Highway 4, Lake Park, MN 56554-9167 | 2008-10-23 |
| 1295285948 | Emma Ulmer | Specialist/Technologist | 15716 County Highway 1, Lake Park, MN 56554-9192 | 2016-10-06 |
| 1831126374 | Sunnyside Nursing Home | Skilled Nursing Facility | 16561 Us Highway 10, Lake Park, MN 56554-9302 | 2006-06-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568078053 | Jennifer Ford | Home Health Aide | 432 Cypress Dr, Lake Park, FL 33403-3333 | 2020-09-20 |
| 1912511684 | Kevin Usry Dc LLC | Chiropractor | 1541 Prosperity Farms Rd, Lake Park, FL 33403-2025 | 2020-09-01 |
| 1750991923 | Aspen Behavioral Health LLC | Substance Abuse Rehabilitation Facility | 525 10th St Ste 503, Lake Park, FL 33403-3187 | 2020-08-03 |
| 1346866456 | Kinseys Iv Resources, LLC. | Home Health | 300 10th St Ste 1, Lake Park, FL 33403-3167 | 2020-06-24 |
| 1689297095 | Andraya Therese Parenteau | Behavior Technician | 14445 County Highway 5, Lake Park, MN 56554-9121 | 2020-05-20 |
| 1710512249 | Tyrone Wedell Robinson | Contractor | 5028 Seminole Cir, Lake Park, GA 31636-3206 | 2020-03-04 |
| 1982249942 | Sheila Michele Nobles | Contractor | 5043 Cypress Lake Dr, Lake Park, GA 31636-3111 | 2019-11-14 |
| 1659914430 | Jacqueline Nesci | Social Worker | 2818 Hinda Rd, Lake Park, FL 33403-1448 | 2019-10-23 |
| 1619510054 | Gimina Health & Services Center, Inc | Family Medicine | 1511 Prosperity Farms Rd Ste 100, Lake Park, FL 33403-2046 | 2019-10-17 |
| 1285283689 | Kristopher Brown | Specialist/Technologist | 1309 S Killian Dr Unit A, Lake Park, FL 33403-1954 | 2019-09-09 |
| Find all providers in LAKE PARK | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619510054 | Gimina Health & Services Center, Inc | Family Medicine | 1511 Prosperity Farms Rd Ste 100, Lake Park, FL 33403-2046 | 2019-10-17 |
| 1548604309 | St. Mary's Regional Health Center | Family Medicine | 1005 1st St, Lake Park, MN 56554-4311 | 2013-04-24 |
| 1447469739 | South Florida Medical Centers Inc | Family Medicine | 406 Us Highway One, Lake Park, FL 33403-3549 | 2007-05-22 |
| 1245389311 | Lake Park Medical Care Center Inc | Family Medicine | 415 Us Highway 1, Suite D, Lake Park, FL 33403-3585 | 2007-01-09 |
| 1053319533 | Robert Collins Greer Iv | Family Medicine | 624 Us 1, Lake Park, FL 33403-2916 | 2005-07-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295349280 | Anna Dalrymple | Family Medicine | 3832 Mcknight Rd N, White Bear Lake, MN 55110-4874 | 2020-09-07 |
| 1760005771 | Revive Pain Centers Pa | Family Medicine | 14525 Highway 7 Ste 375, Minnetonka, MN 55345-3741 | 2020-05-26 |
| 1245862697 | North Iowa Mercy Clinics | Family Medicine | 2440 Bridge Ave, Albert Lea, MN 56007-2005 | 2020-02-04 |
| 1477196715 | The Doctors Medical Clinic, P.a. | Family Medicine | 1504 Whitebear Ave, St Paul, MN 55106 | 2019-10-18 |
| 1699336511 | Ruth Archibald | Family Medicine | 6962 Cottonwood Ct Nw, Rochester, MN 55901-8835 | 2019-06-21 |
| 1295399251 | Roberta Lynn Kopel | Family Medicine | 1605 W Lincoln Ave, Olivia, MN 56277-1260 | 2019-04-25 |
| 1558834390 | Donna Mae Mullenix | Family Medicine | 2849 Cty Rd 103, Barnum, MN 55707 | 2019-01-04 |
| 1083189203 | Altru Health System | Family Medicine | 23076 347th Street Se, Erskine, MN 56535-9466 | 2018-10-04 |
| 1477039204 | Dollar Clinic Pllc | Family Medicine | 1002 1st Ave N, Moorhead, MN 56560-2003 | 2018-07-16 |
| 1780186486 | Simplicity Health Pa | Family Medicine | 1511 Northway Dr Ste 103, Saint Cloud, MN 56303 | 2018-03-08 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.