| West River Health Services | |
|
401 6th Ave W Lemmon SD 57638-1318 | |
| (605) 374-3773 | |
| (605) 374-3425 |
| Full Name | West River Health Services |
|---|---|
| Speciality | Clinic/Center |
| Location | 401 6th Ave W, Lemmon, South Dakota |
| Authorized Official Name and Position | James Long (CEO) |
| Authorized Official Contact | 7015676184 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| West River Health Services 1000 Highway 12 Hettinger ND 58639-7530 Ph: (701) 567-4561 | West River Health Services 401 6th Ave W Lemmon SD 57638-1318 Ph: (605) 374-3773 |
| NPI Number | 1801987904 |
|---|---|
| Provider Enumeration Date | 09/27/2006 |
| Last Update Date | 05/14/2013 |
| Medicare PECOS PAC ID | 0042127045 |
|---|---|
| Medicare Enrollment ID | O20020814000001 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801987904 | NPI | - | NPPES |
| 5306772 | Medicaid | SD | |
| 4999834 | Other | SD | BLUE CROSS OF SOUTH DAKOT |
| 005026 | Medicaid | ND |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |