Active NPI
West River Health Services
Doing business as West River Nurse Corp
- Home Health Agency
- Hettinger, ND
National Provider Identifier
1902992704
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 4041A
- Legal business name
- WEST RIVER HEALTH SERVICES
- Doing business as
- West River Nurse Corp
- Practice address
- 700 4TH St N
Hettinger, ND 58639-7221 - Phone
- (701) 567-6170
- Fax
- (701) 567-6366
- NPI assigned
- Oct 5, 2006
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 4041A | ND | Primary |
Addresses
Primary practice location
700 4TH St N
Hettinger, ND 58639-7221
Mailing address
1000 Highway 12
Hettinger, ND 58639-7530
Phone (701) 567-4561
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2873 | Other | ND | BLUE CROSS |
| 057073 | Medicaid | ND | |
| 0170590 | Medicaid | SD |
Other names 1
- West River Nurse Corp
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160006400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1902992704",
"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": "700 4TH ST N",
"city": "HETTINGER",
"state": "ND",
"postal_code": "586397221",
"telephone_number": "701-567-6170",
"fax_number": "701-567-6366"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WEST RIVER HEALTH SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-05",
"last_updated": "2020-08-22",
"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": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "ND",
"license": "4041A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "2873",
"state": "ND"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "057073",
"state": "ND"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0170590",
"state": "SD"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "West River Nurse Corp",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Hettinger, ND
- West River Health Services (West River Ambulance)
- West River Health Services (DME)
- West River Health Services (West River Regional Medical Center)
- West River Health Services (West River Eye Center)
- West River Health Services (West River Regional Medical Center Swingbed)
- Barbara West, CDE
- Western Horizons Living Centers (Western Horizons Care Center)
- White Drug Co of Jamestown Inc (White Drug #55)
- Taylor Leigh Williams
- Brian G Willoughby, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.