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Dacotah Foundation

Organization Active NPI Community/Behavioral Health Agency · Bismarck, ND

NPI 1972188308 · NPPES record last updated Mar 17, 2021

Key facts

NPI
1972188308
Entity type
Organization (NPI type 2)
Primary specialty
Community/Behavioral Health Agency 251S00000X
Legal business name
DACOTAH FOUNDATION
Practice address
600 S 2ND St Ste 308
Bismarck, ND 58504-5729
Phone
(701) 223-4517
Fax
(701) 223-5775
NPI assigned
Mar 17, 2021
Organization subpart
No

Authorized official

Name
Doreen Eichele
Title
Chief Operations Officer
Phone
(701) 220-7842

Practitioners 4

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

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
35D2209517Dacotah Foundation
600 S 2ND St Suite 308, Bismarck, ND 58504		Certificate of waiverDec 15, 2027

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Yes

Addresses

Primary practice location

600 S 2ND St Ste 308
Bismarck, ND 58504-5729

Mailing address

600 S 2ND St Ste 308
Bismarck, ND 58504-5729
Phone (701) 223-4517

Other practice location 1

112 University Dr N Ste 275
Fargo, ND 58102-4659
Phone (701) 364-0743 ext. 3

Other providers in Bismarck, ND

All providers in Bismarck, ND · Community/Behavioral Health Agency in North Dakota

Sources for this page

Verify at the official NPI Registry.