West River Foundation

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

License

53001EST001 Issued in SD

Legal business name

WEST RIVER FOUNDATION

Practice address

1161 Deadwood Ave
Suite 5
Rapid City, SD 57702-0333

Phone

(605) 394-6742

Fax

(695) 394-6744

NPI assigned

Feb 6, 2007

Organization subpart

No

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

Authorized official

Name

Patrick T. Czerny, ATP

Title

Coordinator of Technical Services

Phone

(605) 394-6742

Specialties & licenses 1

Addresses

Other names 1

• DakotaLink Doing business as

Locations

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1376682146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1925 N PLAZA BLVD",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577029302",
            "telephone_number": "605-394-6742",
            "fax_number": "605-394-6744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1161 DEADWOOD AVE",
            "address_2": "SUITE 5",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577020333",
            "telephone_number": "605-394-6742",
            "fax_number": "695-394-6744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST RIVER FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-06",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "CZERNY",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "COORDINATOR OF TECHNICAL SERVICES",
        "authorized_official_telephone_number": "605-394-6742",
        "authorized_official_credential": "ATP"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "SD",
            "license": "53001EST001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DakotaLink",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• West Dakota Surgical Clinic
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• West River Ear Nose and Throat, Prof., L.L.C.
• West River HV, PLLC
• West River Men'S Health PC
• West River Physicians Alliance, LLC
• Tanya Westbrock, OT
• Michael D Westerbuhr, PA-C

• Customized Equipment (DME) in Rapid City, SD
• Providers in Rapid City, SD by specialty
• Customized Equipment (DME) in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.