Healthcare Provider Details

I. General information

NPI: 1497870356
Provider Name (Legal Business Name): DAKOTA ENERGY COOPERATIVE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/20/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

40294 US HWY 14
HURON SD
57350
US

IV. Provider business mailing address

PO BOX 830
HURON SD
57350-0830
US

V. Phone/Fax

Practice location:
  • Phone: 605-352-8591
  • Fax:
Mailing address:
  • Phone: 605-352-8591
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number StateSD

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: DAVE EIDE
Title or Position: DIRECTOR OF MEMBER SERVICES
Credential:
Phone: 605-352-8591