THE GRAND RIVER HEALTH SYSTEM CORPORATION NPI 1003001769

NPI Information

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
Phone: (660) 646-2199
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THE GRAND RIVER HEALTH SYSTEM CORPORATION is a community health registered nurse 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
1	164W00000X	Licensed Practical Nurse				No
2	163WC1500X	Registered Nurse	Community Health			Yes

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
1	941965303	MEDICAID	MISSOURI

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: 11/14/2023

NPI Synchronization or Removal

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