Organization
WEST RIVER HEALTH SERVICES
Active
Other names
West River Nurse Corp
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES LONG (CEO)
(701) 567-6184
Entity
Organization
Contact information
Practice address
700 4TH ST N, HETTINGER, ND 58639-7221
(701) 567-6170
(701) 567-6366
Mailing address
1000 HIGHWAY 12, HETTINGER, ND 58639-7530
(701) 567-4561
(701) 567-6361
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
4041A
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0170590
—
SD
05
—
057073
—
ND
01
—
2873
BLUE CROSS
ND
Enumeration date
10/05/2006
Last updated
08/22/2020
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