| Heart River Alcohol And Drug Abuse Services Inc. | |
|
St Joe's Plaza 30 7th St W Dickinson ND 58601-4335 | |
| (701) 483-0795 | |
| (701) 483-0947 |
| Full Name | Heart River Alcohol And Drug Abuse Services Inc. |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | St Joe's Plaza, Dickinson, North Dakota |
| Authorized Official Name and Position | John H. Wieglenda (LAC) |
| Authorized Official Contact | 7014830795 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Heart River Alcohol And Drug Abuse Services Inc. St Joe's Plaza 30 7th St W Dickinson ND 58601-4335 Ph: (701) 483-0795 | Heart River Alcohol And Drug Abuse Services Inc. St Joe's Plaza 30 7th St W Dickinson ND 58601-4335 Ph: (701) 483-0795 |
| NPI Number | 1205932233 |
|---|---|
| Provider Enumeration Date | 09/16/2006 |
| Last Update Date | 12/10/2020 |
| Certification Date | 12/08/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205932233 | NPI | - | NPPES |
| 146341 | Medicaid | ND | |
| 11608 | Other | ND | BC/BS PROVIDER # |
| 1473659 | Medicaid | ND | |
| 4626 | Other | ND | BCBS |
| 146339 | Medicaid | ND |
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