Provider Demographics
NPI:1427167618
Name:COUNTY OF DAKOTA
Entity type:Organization
Organization Name:COUNTY OF DAKOTA
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:FINANCE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:L
Authorized Official - Last Name:RHODE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:952-895-4483
Mailing Address - Street 1:PO BOX 856743
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55485-3867
Mailing Address - Country:US
Mailing Address - Phone:866-673-1113
Mailing Address - Fax:888-974-1293
Practice Address - Street 1:100 CIVIC CENTER PKWY
Practice Address - Street 2:
Practice Address - City:BURNSVILLE
Practice Address - State:MN
Practice Address - Zip Code:55337-3867
Practice Address - Country:US
Practice Address - Phone:952-895-4483
Practice Address - Fax:952-895-4462
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-30
Last Update Date:2020-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN0391341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN985367700Medicaid