Dakota Clinic, Ltd. - Northport

LBN: Dakota Clinic, Ltd.
Dakota Clinic, Ltd. - Northport is an health care organization with primary practice located at 2710 Broadway N , Fargo ND 58102-1408. 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) 364-9001, or through Solberg, Larry G via phone (701) 364-3405.

Contact Information

Primary practice address
2710 Broadway N Fargo ND 58102-1408
Phone: (701) 364-9001
Fax: (701) 364-9005
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 1679525745
LBN Legal business name Dakota Clinic, Ltd.
DBA Doing business as Dakota Clinic, Ltd. - Northport
Authorized official Solberg, Larry G
Entity Organization
Organization subpart 1 No
Enumeration date May 17th, 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 1679525745 NPPES
North Dakota MEDICAID 10046

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