Healthcare Provider Details

I. General information

NPI: 1427127620
Provider Name (Legal Business Name): DAKOTA COUNTY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/06/2006
Last Update Date: 02/12/2020
Certification Date: 02/12/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 MENDOTA RD W
SAINT PAUL MN
55118-4764
US

IV. Provider business mailing address

1590 HIGHWAY 55
HASTINGS MN
55033-2343
US

V. Phone/Fax

Practice location:
  • Phone: 651-438-4508
  • Fax: 651-438-4603
Mailing address:
  • Phone: 651-438-4508
  • Fax: 651-438-4603

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: ANTHONY PETER NELSON
Title or Position: MANAGER, FINANCE
Credential:
Phone: 651-438-4363