HETTINGER CLINIC – NPI #1174606271
Clinic/Center

An outpatient entity, facility, or distinct part of a facility within or affiliated with a Critical Access Hospital that provides access to primary care services for individuals in a small rural community and is Medicare certified.

HETTINGER CLINIC is an AHC clinic located in HETTINGER, ND. NPPES has assigned the NPI number 1174606271 to HETTINGER CLINIC on October 23, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “HETTINGER CLINIC” is a dba name, the actual legal business name for this organization is WEST RIVER HEALTH SERVICES. The primary taxonomy selected by this provider is 261QC0050X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Critical Access Hospital

The NPI profile was previously updated about 4 years ago on Oct 14, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for HETTINGER CLINIC below.

NPI Profile for
WEST RIVER HEALTH SERVICES

NPI Number
1174606271
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
WEST RIVER HEALTH SERVICES
Doing Business As (dba): HETTINGER CLINIC
Primary location
1000 HIGHWAY 12
HETTINGER, ND 58639-7530
Phone: (701) 567-4561 Fax: (701) 567-6361
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
ALYSON KORNELE
CEO
Phone: (701) 567-6184
Updated
Certification Date
Oct 14, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for HETTINGER CLINIC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
otherBLUE CROSS OF NORTH DAKOTND367001
medicaidND000016730
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QC0050X
- Clinic/Center / Critical Access Hospital (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.