Provider Demographics
NPI:1699298703
Name:DAKOTA MEDICAL SOLUTIONS, LLC
Entity type:Organization
Organization Name:DAKOTA MEDICAL SOLUTIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:
Authorized Official - Last Name:GOETTL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:651-340-6745
Mailing Address - Street 1:6555 CAHILL AVE STE 103
Mailing Address - Street 2:
Mailing Address - City:INVER GROVE HEIGHTS
Mailing Address - State:MN
Mailing Address - Zip Code:55076-2060
Mailing Address - Country:US
Mailing Address - Phone:651-340-6745
Mailing Address - Fax:
Practice Address - Street 1:6555 CAHILL AVE STE 103
Practice Address - Street 2:
Practice Address - City:INVER GROVE HEIGHTS
Practice Address - State:MN
Practice Address - Zip Code:55076-2060
Practice Address - Country:US
Practice Address - Phone:651-340-6745
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-07-20
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies