WEST RIVER HEALTH SERVICES (NPI# 1902992704) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902992704 |
| Entity Type | Organization |
| Organization Name | WEST RIVER HEALTH SERVICES |
| Other Organization Name | WEST RIVER NURSE CORP |
| Practice Address |
700 4th St N Hettinger ND 58639-7221 |
| Mailing Address |
1000 Highway 12 Hettinger ND 58639-7530 |
| Practice Telephone | 7015676170 |
| Practice Fax Number | 7015676366 |
| Mailing Telephone | 7015674561 |
| Mailing Fax Number | 7015676361 |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2020-08-22 |
| 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 | 251E00000X | Home Health | 4041A | ND | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ND | BLUE CROSS | 2873 | 01 |
| SD | 0170590 | 05 | |
| ND | 057073 | 05 |
| Other Name | Type Code |
|---|---|
| West River Nurse Corp | 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 |
| 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 |
| 1174606271 | West River Health Services | Clinic/Center | 1000 Highway 12, Hettinger, ND 58639-7530 | 2006-10-23 |
| 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 |
700 4TH ST N |
| City | HETTINGER |
| State | ND |
| Zip Code | 58639-7221 |
| 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 |
| 1871017616 | Lesley D Kling | Nurse Practitioner | 1000 Highway 12, Hettinger, ND 58639 | 2017-08-02 |
| 1144315441 | John P Joyce | Family Medicine | 1000 Highway 12, Hettinger, ND 58639 | 2006-10-03 |
| 1801981451 | Brian G Willoughby | Internal Medicine | 1000 Highway 12, Hettinger, ND 58639 | 2006-10-03 |
| 1023103421 | William C Elder | Surgery | 1000 Highway 12, Hettinger, ND 58639 | 2006-10-03 |
| 1437244043 | Steven C Kilwein | Podiatrist | 1000 Highway 12, Hettinger, ND 58639 | 2006-10-03 |
| 1427142017 | Joseph M Mattson | Family Medicine | 1000 Highway 12, Hettinger, ND 58639 | 2006-10-03 |
| 1053405662 | Thomas E Jacobsen | Family Medicine | 1000 Highway 12, Hettinger, ND 58639 | 2006-10-03 |
| 1457445892 | Terrance R Mack | Family Medicine | 1000 Highway 12, Hettinger, ND 58639 | 2006-10-02 |
| Find all providers in zip 58639 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497356315 | Nizhoni Healthcare Services, LLC | Home Health | 825 25th St S Ste F, Fargo, ND 58103-8724 | 2020-11-06 |
| 1255932794 | Prohealth Home Care, Inc. | Home Health | 702 33rd Ave Sw, Minot, ND 58701-7368 | 2020-11-02 |
| 1487255931 | Happy and Smile LLC | Home Health | 721 Memorial Hwy Ste 4, Bismarck, ND 58504-5398 | 2020-11-02 |
| 1053911669 | Kylee Danks | Home Health | 616 Campbell Dr, Grand Forks, ND 58201-7342 | 2020-11-01 |
| 1598365264 | Natasha Compeau | Home Health | 1115 26th Ave S Apt 20, Grand Forks, ND 58201-7074 | 2020-10-30 |
| 1902406085 | Nodak Angels LLC | Home Health | 7 3rd St Se Ste 101, Minot, ND 58701-3916 | 2020-10-28 |
| 1598363418 | Divine Home Care LLC | Home Health | 1544 E Gateway Cir S Apt 206, Fargo, ND 58103-3643 | 2020-10-13 |
| 1912524273 | Jonta Delisa Tidwell | Home Health | 3026 18th St S, Fargo, ND 58103-6716 | 2020-07-01 |
| 1144844903 | All Embracing Home Care, LLC | Home Health | 643 14th St Ne, Thompson, ND 58278-4310 | 2020-06-07 |
| 1043866015 | Dakota Premier Home Care | Home Health | 2108 Eastbay Dr Se, Mandan, ND 58554-6271 | 2019-08-14 |
| Find all providers with the same taxonomy | ||||
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| 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.