West River Health Services
Organization Active NPI Critical Access Hospital Clinic/Center · Hettinger, ND
NPI 1174606271 · NPPES record last updated Oct 14, 2022
Key facts
- NPI
- 1174606271
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Critical Access Hospital Clinic/Center 261QC0050X
- Legal business name
- WEST RIVER HEALTH SERVICES
- Practice address
- 1000 Highway 12
Hettinger, ND 58639-7530 - Phone
- (701) 567-4561
- Fax
- (701) 567-6361
- NPI assigned
- Oct 23, 2006
- Organization subpart
- No
Authorized official
- Name
- Mr. Alyson Kornele
- Title
- Ceo
- Phone
- (701) 567-6184
Other NPIs on the same Medicare enrollment 3
Other NPIs with the same Medicare PAC ID 7
Practitioners 42
-
Rebecca Howe, APRN, FNP-C
-
Lesley D Kling, FNP
-
John F Kludt, OD
-
Mark S Kristy, MD
-
Karl Viddal, M.D.
-
Stacie Marie Wellman, M.D.
-
Jodi Lynn Wilson, MSN, FNP
-
Sheila Bondell, PAC
-
Jake Brozek, MD
-
Steven C Kilwein, DPM
-
Jodi Moore, PA-C
-
Allison Lynn Obritsch, PA-C
-
Joshua Ranum, MD
-
Thomas F Arnold, MD
-
Syeda Sana Bischoff, FNP
-
Brian K Cooper, PA
-
Tammy J Grosulak, CRNA
-
Nicole M. Gullickson, M.D.
-
Ashton Leigh Hedger, PA-C
-
Jacquelyn Ann Hedstrom, DNP APRN PMHNP-BC
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ND
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040128001023 | ND | Part B Supplier - Clinic/Group Practice | 0042127045 |
Receives reassigned benefits from 42 practitioners 3 other NPIs on this enrollment Practice locations: Dickinson, ND; Hettinger, ND; Mott, ND |
National Provider Directory
Locations
409 Main Ave
Lemmon, SD 57638
401 6th Ave W
Lemmon, SD 57638
Phone (605) 374-3773
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Access Hospital Clinic/Center | 261QC0050X | Yes |
Addresses
Primary practice location
1000 Highway 12
Hettinger, ND 58639-7530
Mailing address
1000 Highway 12
Hettinger, ND 58639-7530
Phone (701) 567-4561
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000016730 | Medicaid | ND | |
| 367001 | Other | ND | BLUE CROSS OF NORTH DAKOT |
Other names
- Hettinger Clinic
Other providers in Hettinger, ND
- Natalie Marie Thompson
- Frank A Thorngren
- Joan Lea Upton
- Karen Elizabeth Weflen
- Stacie Marie Wellman
- West River Health Services
- West River Health Services
- West River Health Services
- West River Health Services
- West River Health Services
All providers in Hettinger, ND · Critical Access Hospital Clinic/Center in North Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 14, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.