DAKOTA CLINIC, LTD. (NPI# 1104878230) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104878230 |
| Entity Type | Organization |
| Organization Name | DAKOTA CLINIC, LTD. |
| Other Organization Name | DAKOTA CLINIC, LTD. - MOORHEAD |
| Practice Address |
420 Center Ave Moorhead MN 56560-1957 |
| Mailing Address |
Po Box 6001 Fargo ND 58108-6001 |
| Practice Telephone | 2183646800 |
| Practice Fax Number | 2182339267 |
| Mailing Telephone | 7013643300 |
| Mailing Fax Number | 7013648906 |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | LARRY G SOLBERG (ADMINISTRATOR - AUTHORIZED OFFICIAL) |
| Authorized Official Telephone | 7013643405 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Dakota Clinic, Ltd. - Moorhead | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770537680 | Dakota Clinic, Ltd. | Family Medicine | Highway 371, Walker, MN 56484 | 2006-05-22 |
| 1245284157 | Dakota Clinic, Ltd. | Family Medicine | 212 Aspen Ave Ne, Menagha, MN 56464 | 2006-05-22 |
| 1467406181 | Dakota Clinic, Ltd. | Family Medicine | 600 Water Street E, Medina, ND 58467 | 2006-05-19 |
| 1083666176 | Dakota Clinic, Ltd. | Family Medicine | 5 9th Ave N, Casselton, ND 58012-3339 | 2006-05-17 |
| 1679525745 | Dakota Clinic, Ltd. | Family Medicine | 2710 Broadway N, Fargo, ND 58102-1408 | 2006-05-17 |
| 1043261621 | Dakota Clinic, Ltd. | Family Medicine | 2049 2nd St, Lake Park, MN 56554-4000 | 2006-05-16 |
| 1114978814 | Dakota Clinic, Ltd. | Family Medicine | 114 W Main Ave, Frazee, MN 56544-4217 | 2006-05-15 |
| 1932150646 | Dakota Clinic, Ltd. | Family Medicine | 132 4th Ave Ne, Valley City, ND 58072-3250 | 2006-05-15 |
| 1457302176 | Dakota Clinic, Ltd. | Family Medicine | 501 Main Ave S, Hankinson, ND 58041-4108 | 2006-05-15 |
| 1639120983 | Dakota Clinic, Ltd. | Family Medicine | 102 Sather Dr, Fosston, MN 56542-1531 | 2006-05-12 |
| Street Address |
420 CENTER AVE |
| City | MOORHEAD |
| State | MN |
| Zip Code | 56560-1957 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083608228 | Thomas N Lorentzsen | Optometrist | 420 Center Ave, Suite 41, Moorhead, MN 56560-1957 | 2005-09-02 |
| 1164794780 | Stanton L Andrist & Casey C Bartz | Optometrist | 420 Center Ave, Suite 41, Moorhead, MN 56560-1957 | 2012-01-27 |
| 1447480520 | Casey Clay Bartz | Optometrist | 420 Center Ave, Suite 41, Moorhead, MN 56560-1957 | 2009-07-22 |
| 1659506186 | Karla M Lund | Dietitian, Registered | 420 Center Ave, Moorhead, MN 56560-1957 | 2009-05-28 |
| 1962687111 | Violet M. Deilke | Durable Medical Equipment & Medical Supplies | 420 Center Ave, Suite #14, Moorhead, MN 56560-1957 | 2008-01-07 |
| 1760675755 | Seip Drug LLC | Pharmacy | 420 Center Ave, Ste 12, Moorhead, MN 56560-1957 | 2007-08-22 |
| 1376661165 | Wanda Yvonne Foley | Pharmacist | 420 Center Ave, Suite 12, Moorhead, MN 56560 | 2007-03-27 |
| 1396877221 | Dale R Whitehead | Pharmacist | 420 Center Ave, Moorhead Drug Co, Moorhead, MN 56560 | 2007-03-09 |
| 1922169168 | Dakota Clinic Ltd | Durable Medical Equipment & Medical Supplies | 420 Center Ave, Moorhead Center Mall, Moorhead, MN 56560-1957 | 2006-12-12 |
| 1841361383 | Jimpat Inc | Pharmacist | 420 Center Ave, Suite 12, Moorhead, MN 56560-1957 | 2006-11-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386298859 | Anna Mckay Fox | Pharmacist | 4000 28th Avenue S, Moorhead, MN 56560 | 2019-08-01 |
| 1972019727 | Michael Wayne Hilliard | Specialist/Technologist | 649 17th St S, Moorhead, MN 56560 | 2017-12-15 |
| 1508217183 | Kristen Johnson | Nurse Practitioner | 801 Belsly Boulevard, Moorhead, MN 56560 | 2016-06-25 |
| 1861877052 | Midwest Mental Health Clinic | Nurse Practitioner | 819 30th Ave S Office 206 Suite B, Moorhead, MN 56560 | 2015-07-29 |
| 1083037709 | Drake Counseling Services, Inc. | Clinic/Center | 715 11th Street North, Suite 204, Moorhead, MN 56560 | 2014-01-31 |
| 1710310917 | Lamar Terrell Hill | Social Worker | 420 Center Ave Ste 102, Moorhead, MN 56560 | 2013-08-12 |
| 1982956140 | Lilac Homes Corporation | Assisted Living Facility | 2615 Parkview Dr, Moorhead, MN 56560 | 2012-10-11 |
| 1487918462 | Paige Joy Hanson | Massage Therapist | 805 14th St. So., Msum Wellness Center, Moorhead, MN 56560 | 2012-06-25 |
| 1972809408 | Cslm, LLC | Assisted Living Facility | 2401 South 11th Street, Moorhead, MN 56560 | 2011-02-01 |
| 1972814846 | Paul Michael Fluto | Pharmacist | 3000 Hwy 10 East, Mooehead, MN 56560 | 2010-06-25 |
| Find all providers in zip 56560 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477039204 | Dollar Clinic Pllc | Family Medicine | 1002 1st Ave N, Moorhead, MN 56560-2003 | 2018-07-16 |
| 1073648259 | Allan James Luistro | Family Medicine | 1104 7th Ave S., Box 92 Msum Hendrix Clinic & Counseling Center, Moorhead, MN 56563 | 2007-02-21 |
| 1609855873 | Amie C Haugo | Family Medicine | 1301 8th St S, Moorhead, MN 56560-3604 | 2006-01-16 |
| 1841299047 | Rodney John Lee | Family Medicine | 9 70th Ave Nw, Moorhead, MN 56560-6360 | 2005-07-19 |
| 1164972410 | Innovis Health LLC | Family Medicine | 720 Main Ave, Moorhead, MN 56560-2752 | 2016-10-11 |
| 1396197018 | Hope E. Meyer | Family Medicine | 801 Belsly Boulevard, Moorhead, MN 56560 | 2016-07-06 |
| 1659617504 | Innovis Health LLC | Family Medicine | 801 Belsly Blvd, Moorhead, MN 56560-5055 | 2012-12-21 |
| 1609156934 | Sanford Medical Center Fargo | Family Medicine | 1301 8th St S, Moorhead, MN 56560-3604 | 2011-08-18 |
| 1285926360 | Taylor Grant Mertz | Family Medicine | 801 Belsly Blvd, Moorhead, MN 56560-5055 | 2011-05-09 |
| 1558550442 | Rapidcare Urgent Care Pllc | Family Medicine | 720 Main Ave, Moorhead, MN 56560-2752 | 2007-10-17 |
| Find all providers in MOORHEAD | ||||
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| 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.