Provider Demographics
NPI:1497870356
Name:DAKOTA ENERGY COOPERATIVE INC
Entity Type:Organization
Organization Name:DAKOTA ENERGY COOPERATIVE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF MEMBER SERVICES
Authorized Official - Prefix:
Authorized Official - First Name:DAVE
Authorized Official - Middle Name:
Authorized Official - Last Name:EIDE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:605-352-8591
Mailing Address - Street 1:PO BOX 830
Mailing Address - Street 2:
Mailing Address - City:HURON
Mailing Address - State:SD
Mailing Address - Zip Code:57350-0830
Mailing Address - Country:US
Mailing Address - Phone:605-352-8591
Mailing Address - Fax:
Practice Address - Street 1:40294 US HWY 14
Practice Address - Street 2:
Practice Address - City:HURON
Practice Address - State:SD
Practice Address - Zip Code:57350
Practice Address - Country:US
Practice Address - Phone:605-352-8591
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD332BC3200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
SD9560330Medicare ID - Type UnspecifiedW0630