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Dakota Clinic, LTD.

Organization Active NPI Family Medicine Physician · Casselton, ND

NPI 1083666176 · NPPES record last updated Aug 22, 2020

Key facts

NPI
1083666176
Entity type
Organization (NPI type 2)
Primary specialty
Family Medicine Physician 207Q00000X
Legal business name
DAKOTA CLINIC, LTD.
Practice address
5 9TH Ave N
Casselton, ND 58012-3339
Phone
(701) 347-4445
Fax
(701) 347-5276
NPI assigned
May 17, 2006
Organization subpart
No

Authorized official

Name
Larry G Solberg
Title
Administrator - Authorized Official
Phone
(701) 364-3405

Corporate family (same tax ID) 37

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

View all 37

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Tax ID family
Dakota Clinc Independent la (38 organizations share this tax ID)

Locations

275 11th St S
Wahpeton, ND 58075
Phone (701) 642-2000

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207Q00000X Yes

Addresses

Primary practice location

5 9TH Ave N
Casselton, ND 58012-3339

Mailing address

PO Box 6001
Fargo, ND 58108-6001
Phone (701) 364-3300

Other identifiers

IdentifierTypeStateIssuer
10046MedicaidND

Other names

  • Dakota Clinic, Ltd. - Casselton Doing business as

Other providers in Casselton, ND

All providers in Casselton, ND · Family Medicine Physician in North Dakota

Sources for this page

Verify at the official NPI Registry.