WEST RIVER HEALTH SERVICES (NPI# 1174606271) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174606271 |
| Entity Type | Organization |
| Organization Name | WEST RIVER HEALTH SERVICES |
| Other Organization Name | HETTINGER CLINIC |
| Practice Address |
1000 Highway 12 Hettinger ND 58639-7530 |
| Practice Telephone | 7015674561 |
| Practice Fax Number | 7015676361 |
| Mailing Telephone | 7015674561 |
| Mailing Fax Number | 7015676361 |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2008-04-20 |
| Authorized Official Name | MR. JAMES LONG (CEO) |
| Authorized Official Telephone | 7015676184 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QC0050X |
Clinic/Center Specialization: Critical Access Hospital |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ND | BLUE CROSS OF NORTH DAKOT | 367001 | 01 |
| Other Name | Type Code |
|---|---|
| Hettinger Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760570394 | West River Health Services | Clinic/Center | 211 Main Street, Scranton, ND 58653 | 2006-10-10 |
| 1942398508 | West River Health Services | Clinic/Center | 420 Pacific Ave, Mott, ND 58646 | 2006-10-10 |
| 1902992704 | West River Health Services | Home Health | 700 4th St N, Hettinger, ND 58639-7221 | 2006-10-05 |
| 1629169008 | West River Health Services | Clinic/Center | 683 State Ave, Suite E, Dickinson, ND 58601-4660 | 2006-09-28 |
| 1528240694 | West River Health Services | Durable Medical Equipment & Medical Supplies | 1000 Highway 12, Hettinger, ND 58639-7530 | 2007-11-30 |
| 1518089499 | West River Health Services | Ambulance | 1000 Highway 12, Hettinger, ND 58639-7530 | 2007-04-04 |
| 1588784870 | West River Health Services | Optometrist | 1000 Highway 12, Hettinger, ND 58639-7530 | 2007-03-30 |
| 1700975604 | West River Health Services | Medicare Defined Swing Bed Unit | 1000 Highway 12, Hettinger, ND 58639-7530 | 2006-10-11 |
| 1215026117 | West River Health Services | Durable Medical Equipment & Medical Supplies | 1000 Highway 12, Hettinger, ND 58639-7530 | 2006-10-11 |
| 1831286160 | West River Health Services | Clinic/Center | 820 2nd Ave W, New England, ND 58647 | 2006-10-06 |
| Street Address |
1000 HIGHWAY 12 |
| City | HETTINGER |
| State | ND |
| Zip Code | 58639-7530 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194766485 | Joan Lea Upton | Physical Therapist | 1000 Highway 12, Hettinger, ND 58639-7530 | 2006-06-09 |
| 1225647860 | Rebecca Howe | Nurse Practitioner | 1000 Highway 12, Hettinger, ND 58639-7530 | 2020-07-29 |
| 1639724099 | Ashley Lynn Bostyan | Nurse Practitioner | 1000 Highway 12, Hettinger, ND 58639-7530 | 2019-08-02 |
| 1891206215 | Jacquelyn Ann Hedstrom | Nurse Practitioner | 1000 Highway 12, Hettinger, ND 58639-7530 | 2017-10-12 |
| 1871017616 | Lesley D Kling | Nurse Practitioner | 1000 Highway 12, Hettinger, ND 58639 | 2017-08-02 |
| 1083049431 | Jodi Lynn Wilson | Nurse Practitioner | 1000 Highway 12, Hettinger, ND 58639-7530 | 2013-09-04 |
| 1669793410 | Stacie Marie Wellman | Family Medicine | 1000 Highway 12, Hettinger, ND 58639-7530 | 2010-06-16 |
| 1861623456 | Carrie Ann Kathleen Ranum | Pediatrics | 1000 Highway 12, Hettinger, ND 58639-7530 | 2009-07-31 |
| 1609035120 | Joshua Ranum | Family Medicine | 1000 Highway 12, Hettinger, ND 58639-7530 | 2008-06-09 |
| 1528240694 | West River Health Services | Durable Medical Equipment & Medical Supplies | 1000 Highway 12, Hettinger, ND 58639-7530 | 2007-11-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215149984 | Mitchell C. Schultz | Pharmacist | 105 6th St Se, Hettinger, ND 58639 | 2007-05-04 |
| 1861612111 | Gary William Dewhirst | Pharmacist | 305 13th St S, Hettinger, ND 58639 | 2007-04-27 |
| 1649677220 | Liane Ruhland | Social Worker | 609 2nd Ave N, Hettinger, ND 58639-0550 | 2014-11-26 |
| 1154535151 | Susan K Hallen | Pharmacist | 603 N 4th St, Hettinger, ND 58639-0808 | 2007-05-09 |
| 1225145345 | Suzan Jean Hanson | Chiropractor | 117 S. Main, Hettinger, ND 58639-1347 | 2006-08-24 |
| 1174873939 | Kimberly Anne Radig | Pharmacist | 112 S Main St, Hettinger, ND 58639-7031 | 2012-09-19 |
| 1396835237 | White Drug Co of Jamestown Inc | Durable Medical Equipment & Medical Supplies | 112 S Main St, Hettinger, ND 58639-7031 | 2006-10-13 |
| 1902992704 | West River Health Services | Home Health | 700 4th St N, Hettinger, ND 58639-7221 | 2006-10-05 |
| 1043819709 | Laura Lea Lurz Cordes | Technician | 300 11th Ave N, Hettinger, ND 58639-7306 | 2020-10-22 |
| 1659996924 | Encompass Therapy LLC | Clinic/Center | 600 2nd Ave N, Hettinger, ND 58639-7448 | 2020-06-12 |
| Find all providers in zip 58639 | ||||
| Taxonomy Code | 261QC0050X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Critical Access Hospital |
| An outpatient entity, facility, or distinct part of a facility within or affiliated with a Critical Access Hospital that provides access to primary care services for individuals in a small rural community and is Medicare certified. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184117293 | Mercy Hospital of Devils Lake | Clinic/Center | 425 College Dr S Ste 14, Devils Lake, ND 58301 | 2018-06-13 |
| 1033634712 | Garrison Memorial Hospital | Clinic/Center | 407 3rd Ave Se, Garrison, ND 58540-7235 | 2017-08-03 |
| 1184051971 | Lisbon Area Health Services | Clinic/Center | 905 Main St, Lisbon, ND 58054-4334 | 2013-10-11 |
| 1942465364 | Ashley Medical Center | Clinic/Center | 612 Center Ave N, Ashley, ND 58413-7013 | 2008-07-24 |
| 1760549000 | Mercy Medical Center | Clinic/Center | 1213 15th Ave W, Williston, ND 58801 | 2007-01-03 |
| 1902824576 | Mercy Medical Center | Clinic/Center | 1301 15th Ave W, Williston, ND 58801-3821 | 2006-07-18 |
Please comment or provide details below to improve the information on WEST RIVER HEALTH SERVICES.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.