Organization Active NPI

West River Health Services

Doing business as West River Home Medical Services

  • Durable Medical Equipment & Medical Supplies
  • Hettinger, ND
National Provider Identifier
1215026117
Registry record updated Jun 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
WEST RIVER HEALTH SERVICES
Doing business as
West River Home Medical Services
Practice address
1000 Highway 12
Hettinger, ND 58639-7530
Phone
(701) 567-6086
Fax
(701) 567-6365
NPI assigned
Oct 11, 2006
Last updated
Jun 4, 2015By the provider in NPPES
Organization subpart
Yes
Parent organization
WEST RIVER HEALTH SERVICESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 4, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. James Long
Title
Ceo
Phone
(701) 567-6184

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X ND Primary

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 3

IdentifierTypeStateIssuer
57965MedicaidND
7241OtherNDBLUE CROSS OF NORTH DAKOT
9161510MedicaidSD

Other names 1

  • West River Home Medical Services Doing business as

National Provider Directory

National Provider Directory
Part of
Hettingerwr Health Cli

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433376000000",
    "number": "1215026117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 HIGHWAY 12",
            "city": "HETTINGER",
            "state": "ND",
            "postal_code": "586397530",
            "telephone_number": "701-567-4561",
            "fax_number": "701-567-6361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 HIGHWAY 12",
            "city": "HETTINGER",
            "state": "ND",
            "postal_code": "586397530",
            "telephone_number": "701-567-6086",
            "fax_number": "701-567-6365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST RIVER HEALTH SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WEST RIVER HEALTH SERVICES",
        "enumeration_date": "2006-10-11",
        "last_updated": "2015-06-04",
        "status": "A",
        "authorized_official_last_name": "LONG",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "701-567-6184",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "ND",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "57965",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF NORTH DAKOT",
            "identifier": "7241",
            "state": "ND"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9161510",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "West River Home Medical Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hettinger, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.