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DAKOTA FAMILY PRACTICE NPI 1417136193


NPI Information

NPI: 1417136193
Provider Name: DAKOTA FAMILY PRACTICE
Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
625 N FOSTER ST
SUITE 209
MITCHELL, SD
ZIP 57301
Phone: (605) 996-2382
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DAKOTA FAMILY PRACTICE is a durable medical equipment medical supplies in Mitchell, SD. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. DAKOTA FAMILY PRACTICE NPI is 1417136193. The provider is registered as an organization entity type.

The provider's business location address is:

625 N FOSTER ST
SUITE 209
MITCHELL, SD
ZIP 57301-969
Phone: (605) 996-2382
Fax: (605) 996-3212

The provider's authorized official is Brian D Tjarks .
The authorized official title is President and has the following contact phone number (605) 996-2382.

The enumeration date for this NPI number is 10/30/2007 and was last updated on 9/15/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332B00000XDurable Medical Equipment & Medical Supplies0924400001SOUTH DAKOTAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10924400001MEDICARE NSC

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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