DAKOTA CLINIC LTD (NPI# 1720149735) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720149735 |
| Entity Type | Organization |
| Organization Name | DAKOTA CLINIC LTD |
| Other Organization Name | DAKOTA CLINIC LTD DETROIT LAKES |
| Practice Address |
125 Frazee St Detroit Lakes MN 56501-3501 |
| Mailing Address |
Po Box 727 Detroit Lakes MN 56502 |
| Practice Telephone | 2188442300 |
| Practice Fax Number | 2188442444 |
| Mailing Telephone | 2178442300 |
| Mailing Fax Number | 2188442444 |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2007-12-03 |
| Authorized Official Name | LARRY G SOLBERG (CEO) |
| Authorized Official Telephone | 7013643405 |
| Is Organization Subpart | Y |
| Parent Organization Name | DAKOTA CLINIC,LTD. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | MAMMOGRAPHY # | 108779 | 01 |
| Other Name | Type Code |
|---|---|
| DAKOTA CLINIC LTD DETROIT LAKES | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417017278 | Dakota Clinic Ltd | Durable Medical Equipment & Medical Supplies | 501 Main S, Hankinson, ND 58041 | 2006-12-11 |
| 1932260247 | Dakota Clinic Ltd | Durable Medical Equipment & Medical Supplies | 212 Aspen Ave Ne, Menahga, MN 56464 | 2006-12-12 |
| 1366503641 | Dakota Clinic Ltd | Clinic/Center | 1720 Highway 59 S, Thief River Falls, MN 56701-4331 | 2006-12-12 |
| 1356402630 | Dakota Clinic Ltd | Clinic/Center | 275 11th St S, Wahpeton, ND 58075-4655 | 2006-12-12 |
| 1265593545 | Dakota Clinic Ltd | Clinic/Center | 125 Frazee St E, Detroit Lakes, MN 56501-3501 | 2006-12-12 |
| 1821159005 | Dakota Clinic Ltd | Durable Medical Equipment & Medical Supplies | Highway 371, Walker, MN 56484 | 2006-12-12 |
| 1922169168 | Dakota Clinic Ltd | Durable Medical Equipment & Medical Supplies | 420 Center Ave, Moorhead Center Mall, Moorhead, MN 56560-1957 | 2006-12-12 |
| 1417016106 | Dakota Clinic Ltd | Durable Medical Equipment & Medical Supplies | 705 Pleasant Ave S, Park Rapids, MN 56470-1440 | 2006-12-08 |
| 1407915101 | Dakota Clinic Ltd | Durable Medical Equipment & Medical Supplies | 1720 Highway 59 S, Thief River Falls, MN 56701-4331 | 2006-12-08 |
| 1609935311 | Dakota Clinic Ltd | Durable Medical Equipment & Medical Supplies | 1702 University Dr S, Fargo, ND 58103-4940 | 2006-12-08 |
| Street Address |
125 FRAZEE ST |
| City | DETROIT LAKES |
| State | MN |
| Zip Code | 56501-3501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588265649 | Candace Louise Haugtvedt | Pharmacist | 321 Us-10 West, Detroit Lakes, MN 56501 | 2020-11-05 |
| 1679068407 | Strive Chiropractic Detroit Lakes LLC | Chiropractor | 1852 Nodaway Drive, Detroit Lakes, MN 56501 | 2018-06-25 |
| 1194215830 | Jordan James Reese | Registered Nurse | 1295 Bay Ridge Dr, Detroit Lakes, MN 56501 | 2018-05-17 |
| 1992179386 | Compassion House | Substance Abuse Rehabilitation Facility | 811 8th St. Se, Detroit Lakes, MN 56501 | 2015-11-23 |
| 1720344286 | Lakes Crisis & Resource Center | Clinic/Center | 1339 Pelican Lane, Detroit Lakes, MN 56501 | 2012-04-09 |
| 1063657120 | Diane Jean Mccormack | Occupational Therapist | 15840 Long Lake Road, Detroit Lakes, MN 56501 | 2008-12-03 |
| 1588817928 | Darcy Caleb Olson | Counselor | 925 Lake Ave, Detroit Lakes, MN 56501 | 2008-10-29 |
| 1760651079 | Rapidcare Urgent Care Pllc | Family Medicine | 1361 Wenner Road, Detroit Lakes, MN 56501 | 2008-02-21 |
| 1427274729 | Jeffrey C Gregory | Psychologist | 910 Lincoln Ave, Detroit Lakes, MN 56501 | 2007-04-17 |
| 1144364894 | Midwest Vision Centers Inc | Eyewear Supplier (Equipment, not the service) | 830 Washington Avenue, Detroit Lakes, MN 56501 | 2007-02-16 |
| Find all providers in zip 56501 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356619415 | Grand St Paul Cvs LLC | Durable Medical Equipment & Medical Supplies | 329 Frazee St E, Detroit Lakes, MN 56501-3603 | 2011-12-05 |
| 1164626222 | Easy Risers Inc | Durable Medical Equipment & Medical Supplies | 11344 Dakotah Beach Rd, Detroit Lakes, MN 56501-8205 | 2007-06-13 |
| 1548477227 | Benefits of Light LLC | Durable Medical Equipment & Medical Supplies | 1144 Summit Ave, Detroit Lakes, MN 56501-3314 | 2007-05-16 |
| 1720152093 | Lincare Inc. | Durable Medical Equipment & Medical Supplies | 219 Front St W, Detroit Lakes, MN 56501-3019 | 2006-11-20 |
| 1326137928 | White Drug Enterprises Inc | Durable Medical Equipment & Medical Supplies | 321 Hwy 10 West, Detroit Lakes, MN 56501 | 2006-10-12 |
| 1437260098 | Wheelchairs Unlimited, Inc. | Durable Medical Equipment & Medical Supplies | 808 Washington Ave Ste 6, Detroit Lakes, MN 56501-3039 | 2006-08-31 |
| 1730110115 | St Mary's Innovis Health | Durable Medical Equipment & Medical Supplies | 211 Frazee Street East, Detroit Lakes, MN 56501 | 2006-07-05 |
| 1134515869 | Gillette Children's Specialty Healthcare | Durable Medical Equipment & Medical Supplies | 1027 Washington Ave, Detroit Lakes, MN 56501-3409 | 2015-04-09 |
| 1932354701 | Whitney Sleep Diagnostics & Consultants, LLC | Durable Medical Equipment & Medical Supplies | 714 Washington Ave, Detroit Lakes, MN 56501-3012 | 2008-11-20 |
| 1467640797 | St Mary's Regional Health Center | Durable Medical Equipment & Medical Supplies | 1027 Washington Ave, Detroit Lakes, MN 56501-3409 | 2007-10-11 |
| Find all providers in DETROIT LAKES | ||||
| City | DETROIT LAKES |
| Zip Code | 56501 |
Please comment or provide details below to improve the information on DAKOTA CLINIC LTD.
| 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.