Organization Name: | COUNTY OF DAKOTA |
NPI Number: | 1639368723 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | THOMAS WENTE (MEDICAL DIRECTOR) |
Mailing Address: | 1601 Broadway St Dakota City |
State: | NE US |
Postal Code: | 687310155 |
Phone Number: | 4029872164 |
Fax Number: | 4029872163 |
NPI Enumeration Date: | 10/15/2007 |
NPI Last Update Date: | 02/19/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251K00000X |
License Number: | 201001 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NE |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Public Health or Welfare |
Taxonomy Specialization: | |
Taxonomy Definition: |