Organization
WEST RIVER HEALTH SERVICES
Active
Other names
Hettinger Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALYSON KORNELE (CEO)
(701) 567-6184
Entity
Organization
Contact information
Practice address
1000 HIGHWAY 12, HETTINGER, ND 58639-7530
(701) 567-4561
(701) 567-6361
Mailing address
1000 HIGHWAY 12, HETTINGER, ND 58639-7530
(701) 567-4561
(701) 567-6361
Taxonomy
Speciality
Code
Description
License number
State
261QC0050X
Critical Access Hospital Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000016730
—
ND
01
—
367001
BLUE CROSS OF NORTH DAKOT
ND
Enumeration date
10/23/2006
Last updated
10/14/2022
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