Dakota Clinic, Ltd. At Innovis

LBN: Dakota Clinic, Ltd.
Dakota Clinic, Ltd. At Innovis is an health care organization with primary practice located at 3000 32Nd Ave S , Fargo ND 58103-6132. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Dakota Clinic, Ltd. can be contacted via phone (701) 364-8000, or through Solberg, Larry G via phone (701) 364-3405.

Contact Information

Primary practice address
3000 32Nd Ave S Fargo ND 58103-6132
Phone: (701) 364-8000
Fax: (701) 364-8078
Website:
Map and Directions
Authorized official contact:
Name: Solberg, Larry G
Phone: (701) 364-3405

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1194777409
LBN Legal business name Dakota Clinic, Ltd.
DBA Doing business as Dakota Clinic, Ltd. At Innovis
Authorized official Solberg, Larry G
Entity Organization
Organization subpart 1 No
Enumeration date May 16th, 2006
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194777409 NPPES
North Dakota MEDICAID 10046

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