DAKOTAHAVEN, LLC


Address: 1513 Orchard Dr, Brookings, SD 57006-3247
Phone: 6052120894

DAKOTAHAVEN, LLC (NPI# 1386911923) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1386911923
Entity Type Organization
Organization Name DAKOTAHAVEN, LLC
Practice Address 1513 Orchard Dr
Brookings
SD 57006-3247
Practice Telephone 6052120894
Mailing Telephone 6052120894
Enumeration Date 2011-11-28
Last Update Date 2011-11-28
Authorized Official Name DR. KARLA MARIE HUNTER (OWNER)
Authorized Official Telephone 6052120894
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QH0100X Clinic/Center
Specialization: Health Service
1096 SD Ambulatory Health Care Facilities

Office Location

Street Address 1513 ORCHARD DR
City BROOKINGS
State SD
Zip Code 57006-3247

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1619454774 Alec Edward Weis Student in an Organized Health Care Education/Training Program 314 Main Ave Apt 4., Brookings, SD 57006 2018-07-22
1629569066 Robin Lynn Erz Counselor East Central Behavioral Health, 211 4th Street, Brookings, SD 57006 2018-05-22
1982057246 City of Brookings Clinic/Center 310 22nd Avenue, Brookings, SD 57006 2016-07-21
1922413806 Avera Mckennan Clinic/Center 400 2nd Ave, Brookings, SD 57006 2014-06-30
1093157554 Nathan William Hilbrands Dentist 427 8th St S, Brookings, SD 57006 2013-07-25
1992073951 Andrea Uckert Counselor 619 5th Ave Ste 3, Brookings, SD 57006 2011-12-06
1972800100 Melissa Ann Klemm Counselor 1304 Main Ave S, Brookings, SD 57006 2011-02-24
1285873539 Amy Lynn Osterberg Counselor 211 4th St., East Central Mh/cd Center Inc, Brookings, SD 57006 2009-02-10
1114062072 Kendalls Rexall Pharmacy Inc Durable Medical Equipment & Medical Supplies 223 6th St, Brookings, SD 57006 2007-02-20
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Taxonomy Information

Taxonomy Code 261QH0100X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Health Service

Taxonomy Definition

Definition to come...
Notes: [7/1/2006: modified title]

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Competitor

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City BROOKINGS
Zip Code 57006

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Dataset Information

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.

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