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Organization
HEART RIVER SERVICES LLC
Active
Organization
HEART RIVER SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN H. WIEGLENDA LAC (LAC)
(701) 483-0795
Entity
Organization
Contact information
Practice address
ST JOE'S PLAZA, 30 7TH ST W, DICKINSON, ND 58601-4335
(701) 483-0795
(701) 483-0947
Mailing address
30 7TH ST W, DICKINSON, ND 58601-4335
(701) 483-0795
(701) 483-0947
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1071
ND
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
1071
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11608
BC/BS PROVIDER #
ND
05
—
146339
—
ND
05
—
146341
—
ND
05
—
1473659
—
ND
01
—
4626
BCBS
ND
Enumeration date
09/16/2006
Last updated
04/15/2026
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