Organization
WEST RIVER HEALTH SERVICES
Active
Other names
Mott Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES LONG (CEO)
(701) 567-6184
Entity
Organization
Contact information
Practice address
420 PACIFIC AVE, MOTT, ND 58646
(701) 824-2391
(701) 824-2846
Mailing address
1000 HIGHWAY 12, HETTINGER, ND 58639-7530
(701) 567-4561
(701) 567-6369
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005014
—
ND
Enumeration date
10/10/2006
Last updated
05/14/2013
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