# WEST RIVER HEALTH SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Hettinger Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174606271
- **Authorized official:** MR. ALYSON KORNELE (CEO)
- **Authorized official phone:** (701) 567-6184

## Contact information

- **Practice address:** 1000 HIGHWAY 12, HETTINGER, ND 58639-7530
- **Practice address phone:** (701) 567-4561
- **Practice address fax:** (701) 567-6361
- **Mailing address:** 1000 HIGHWAY 12, HETTINGER, ND 58639-7530
- **Mailing address phone:** (701) 567-4561
- **Mailing address fax:** (701) 567-6361

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QC0050X | Critical Access Hospital Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 10/23/2006
- **Last updated:** 10/14/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 000016730 | — | ND |
| 01 | — | 367001 | BLUE CROSS OF NORTH DAKOT | ND |