Provider Demographics
NPI:1184887804
Name:DAKOTA HEARING INSTRUMENT INC
Entity type:Organization
Organization Name:DAKOTA HEARING INSTRUMENT INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:MONICA
Authorized Official - Middle Name:DAWN
Authorized Official - Last Name:STRAIT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:605-487-7661
Mailing Address - Street 1:340 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:LAKE ANDES
Mailing Address - State:SD
Mailing Address - Zip Code:57356
Mailing Address - Country:US
Mailing Address - Phone:605-487-7661
Mailing Address - Fax:605-996-3644
Practice Address - Street 1:340 MAIN ST
Practice Address - Street 2:
Practice Address - City:LAKE ANDES
Practice Address - State:SD
Practice Address - Zip Code:57356
Practice Address - Country:US
Practice Address - Phone:605-487-7661
Practice Address - Fax:605-996-3644
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-02
Last Update Date:2008-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD286237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
SD9150300Medicaid