Organization
DAKOTA CLINIC, LTD.
Active
Parent organization
DAKOTA CLINIC LTD
Other names
Dakota Clinic, Ltd. - Valley City
Organization subpart
Yes
Provider details
NPI number
Legal business name
DAKOTA CLINIC LTD
Authorized official
LARRY G SOLBERG (ADMINISTRATOR-AUTHORIZED OFFICIAL)
(701) 364-3405
Entity
Organization
Contact information
Practice address
132 4TH AVE NE, VALLEY CITY, ND 58072-3250
(701) 845-8060
(701) 845-8067
Mailing address
401 3RD ST SE, JAMESTOWN, ND 58401-4247
(701) 253-5300
(701) 253-5402
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025
—
ND
01
—
CI9589
RAILROAD MEDICARE #
ND
Enumeration date
05/15/2006
Last updated
11/27/2007
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