Dakota Renaissance, Inc.

LBN: Dakota Renaissance, Inc.
Dakota Renaissance, Inc. is an health care organization with primary practice located at 101 3Rd Ave # 44, Pettibone ND 58475. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Research, Residential Treatment Facilities / Substance Abuse Rehabilitation Facility. Residential Treatment Facilities / Substance Abuse Rehabilitation Facility is the primary health care specialty. Dakota Renaissance, Inc. can be contacted via phone (701) 273-6688, or through Gray, Scharazard Lee via phone (813) 310-9346.

Contact Information

Primary practice address
101 3Rd Ave # 44 Pettibone ND 58475
Phone: (701) 273-6688
Fax: (888) 972-4098
Website:
Map and Directions
Authorized official contact:
Name: Gray, Scharazard Lee Doctor of Medicine (MD)
Phone: (813) 310-9346

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Research 261QR1100X 12015 North Dakota
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X 12015 North Dakota

Profile Details

NPI number 1184171753
LBN Legal business name Dakota Renaissance, Inc.
DBA Doing business as
Authorized official Gray, Scharazard Lee Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 1st, 2016
Last updated Sep 1st, 2016 - about 8 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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