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THE GRAND RIVER HEALTH SYSTEM CORPORATION NPI 1003001769

NPI Profile

NPI: 1003001769
Provider Name: THE GRAND RIVER HEALTH SYSTEM CORPORATION

Doing Business As: HEDRICK MEDICAL CENTER HOME HEATH AGENCY

Classification: Registered Nurse - 163WC1500X
Entity Type: Organization

Specialization: Community Health

Address:
498 PARK LN
CHILLICOTHE, MO
ZIP 64601
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Phone: (660) 646-2199

THE GRAND RIVER HEALTH SYSTEM CORPORATION is a healthcare provider in Chillicothe, MO. THE GRAND RIVER HEALTH SYSTEM CORPORATION NPI is 1003001769. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Hedrick Medical Center Home Heath Agency.

The provider's business location address is:

498 PARK LN
CHILLICOTHE, MO
ZIP 64601-551
Phone: (660) 646-2199

The provider's authorized official is Brian J Johnston .
The authorized official title is Ceo and has the following contact phone number (660) 646-1480.

The enumeration date for this NPI number is 9/6/2007 and was last updated on 7/15/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1164W00000XLicensed Practical NurseNo
2163WC1500XRegistered NurseCommunity HealthYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1941965303MEDICAIDMISSOURI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 10/13/2019

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