NPIMap

Organization Active NPI

Dakota Clinic LTD

Doing business as Dakota Clinic LTD Menahga

  • Durable Medical Equipment & Medical Supplies
  • Menahga, MN
National Provider Identifier
1932260247
Registry record updated Dec 3, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
DAKOTA CLINIC LTD
Doing business as
Dakota Clinic LTD Menahga
Practice address
212 Aspen Ave NE
Menahga, MN 56464
Phone
(218) 564-4131
Fax
(218) 233-9267
NPI assigned
Dec 12, 2006
Last updated
Dec 3, 2007By the provider in NPPES
Organization subpart
Yes
Parent organization
DAKOTA CLINIC, LTD.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 3, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Larry G Solberg
Title
Ceo
Phone
(701) 364-3405

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

212 Aspen Ave NE
Menahga, MN 56464

Mailing address

705 Pleasant Ave
Park Rapids, MN 56470
Phone (218) 732-2800

Other identifiers 1

IdentifierTypeStateIssuer
214486OtherMNMAMMOGRAPHY #

Other names 1

  • DAKOTA CLINIC LTD MENAHGA Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Dakota Clin Park Rapids38 organizations share this tax ID, including this one
Part of
Dakota Clin Park Rapids

Other organizations with this tax ID 37

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

View all 37

NPI Registry JSON

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196640000000",
    "number": "1932260247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 PLEASANT AVE",
            "city": "PARK RAPIDS",
            "state": "MN",
            "postal_code": "56470",
            "telephone_number": "218-732-2800",
            "fax_number": "218-732-2857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 ASPEN AVE NE",
            "city": "MENAHGA",
            "state": "MN",
            "postal_code": "56464",
            "telephone_number": "218-564-4131",
            "fax_number": "218-233-9267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAKOTA CLINIC LTD",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DAKOTA CLINIC, LTD.",
        "enumeration_date": "2006-12-12",
        "last_updated": "2007-12-03",
        "status": "A",
        "authorized_official_last_name": "SOLBERG",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "701-364-3405"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMMOGRAPHY #",
            "identifier": "214486",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DAKOTA CLINIC LTD MENAHGA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Menahga, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.