Healthcare Provider Details

I. General information

NPI: 1598844177
Provider Name (Legal Business Name): DAKOTA COUNTY RECEIVING CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/03/2006
Last Update Date: 06/13/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1294 18TH ST E
HASTINGS MN
55033-3680
US

IV. Provider business mailing address

1294 18TH ST E
HASTINGS MN
55033-3680
US

V. Phone/Fax

Practice location:
  • Phone: 651-437-4209
  • Fax: 651-438-4144
Mailing address:
  • Phone: 651-437-4209
  • Fax: 651-438-4144

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number1033790-1-DS
License Number StateMN

VIII. Authorized Official

Name: LOUISE SKOGSTAD
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 651-437-4209