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CAH351330-00 West River Health Services (Active)
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Main Details
Name
West River Health Services
Subdivision Name
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH351330-00
Medicare Provider Number
351330
Additional Details
Current Program Status
Active
Registration Date
8/2/2011
Participating Start Date
10/1/2011
Participating Approval Date
9/22/2011
Last Recertification Date
8/15/2024
Contacts
Authorizing Official
West River Health Services
ALYSON LANE KORNELE, CEO
(701) 567-6183
Primary Contact
West River Health Services
Alaina M Stadheim-Olson, pharmacy manager
(701) 567-6089
Addresses
Street Address
1000 highway 12
Hettinger, ND 58639
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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2/27/12 update address from 1000 Highway 12 Hettinger, ND 58639-0750
02/27/2012
May 2025
May 2025
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