NPIMap

Organization Active NPI

West River Health Services

  • Medicare Defined Swing Bed Hospital Unit
  • Hettinger, ND
National Provider Identifier
1700975604
Registry record updated May 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X
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 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2013

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
Medicare Defined Swing Bed Hospital Unit 275N00000X 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 4

IdentifierTypeStateIssuer
0159200MedicaidSD
009563OtherNDBLUE CROSS OF NORTH DAKOT
21233MedicaidND
1950MedicaidND

Other names 1

  • West River Regional Medical Center Swingbed Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120213000371 ND Part A Provider - Critical Access Hospital 0042127045 Practice locations: Hettinger, ND

Hospital certification: CCN 35Z330

Legal name
WEST RIVER HEALTH SERVICES
Doing business as
WEST RIVER REGIONAL MEDICAL CENTER
Organization structure
CorporationNon-profit
Incorporated
Jan 26, 1977 in ND
Enrollment address
1000 Highway 12
Hettinger, ND 58639-7530
Hospital Swing-Bed Unit

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 7

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Hettingerwr Health Cli10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 9

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Stewart Nielson Individual Corporate DirectorWRHS Rep Nov 17, 2023
Lynn Brown Individual Corporate DirectorVice-Chairman Sep 19, 2018
Kurt Sargent Individual Corporate OfficerChief Financial Officer Nov 3, 2025
W-2 Managing EmployeeChief Financial Officer Nov 3, 2025
Troy Mosbrucker Individual Corporate DirectorWRHS Rep Sep 19, 2018
Alyson Freeland Individual Corporate Officer Oct 3, 2022
W-2 Managing Employee Oct 3, 2022
Dave Erickson Individual Corporate Director Nov 2, 2020
Jonathon Eaton Individual Corporate DirectorDirector Sep 15, 2014
Stacie Marie Wellman Individual Corporate DirectorMedical Liaison Jan 19, 2024
Brett Henderson Individual Corporate DirectorWRHS Rep Nov 2, 2020

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 19

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 19

Affiliated clinicians 4

Clinicians who list this facility as an affiliation in Medicare Care Compare.

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": "1368489600000",
    "number": "1700975604",
    "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": "701-567-6369"
        },
        {
            "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": "701-567-4561",
            "fax_number": "701-567-6361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST RIVER HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-11",
        "last_updated": "2013-05-14",
        "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": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0159200",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF NORTH DAKOT",
            "identifier": "009563",
            "state": "ND"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "21233",
            "state": "ND"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1950",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "West River Regional Medical Center Swingbed",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hettinger, ND

Sources for this page

Verify at the official NPI Registry.