Organization
WEST RIVER HEALTH SERVICES
Active
Other names
West River Eye Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES K. LONG (CEO)
(701) 567-6184
Entity
Organization
Contact information
Practice address
1000 HIGHWAY 12, HETTINGER, ND 58639-7530
(701) 567-4561
(701) 567-6369
Mailing address
1000 HIGHWAY 12, HETTINGER, ND 58639-7530
(701) 567-4561
(701) 567-6361
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00377001
BCBS OF NORTH DAKOTA
ND
Enumeration date
03/30/2007
Last updated
05/13/2013
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