| Dakota Clinic, Ltd. - Jamestown | |
|
401 3rd St Se Jamestown ND 58401-4247 | |
| (701) 253-5300 | |
| (701) 253-5402 |
| Full Name | Dakota Clinic, Ltd. - Jamestown |
|---|---|
| Speciality | Family Medicine |
| Location | 401 3rd St Se, Jamestown, North Dakota |
| Authorized Official Name and Position | Larry G Solberg (ADMINISTRATOR-AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 7013643405 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dakota Clinic, Ltd. - Jamestown 401 3rd St Se Jamestown ND 58401-4247 Ph: (701) 253-5300 | Dakota Clinic, Ltd. - Jamestown 401 3rd St Se Jamestown ND 58401-4247 Ph: (701) 253-5300 |
| NPI Number | 1336190693 |
|---|---|
| Provider Enumeration Date | 05/12/2006 |
| Last Update Date | 10/16/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336190693 | NPI | - | NPPES |
| 10894 | Medicaid | ND |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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