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GRAND RIVER HEALTH SYSTEM CORPORATION NPI 1457546111


NPI Information

NPI: 1457546111
Provider Name: GRAND RIVER HEALTH SYSTEM CORPORATION

Doing Business As: HEDRICK MEDICAL CENTER HOME HEALTH AGENCY

Classification: Technician - 3747P1801X
Entity Type: Organization

Specialization: Personal Care Attendant

CLIA Number: 26D0445159

Address:
498 PARK LN
CHILLICOTHE, MO
ZIP 64601
Phone: (660) 646-2199
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GRAND RIVER HEALTH SYSTEM CORPORATION is a personal care attendant technician in Chillicothe, MO. The provider is an individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards GRAND RIVER HEALTH SYSTEM CORPORATION NPI is 1457546111. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Hedrick Medical Center Home Health 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 CLIA number assigned to this NPI record is 26D0445159 - hospital with a certificate type of Certificate of Accreditation.

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
13747P1801XTechnicianPersonal Care AttendantYes

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
1261966305MEDICAIDMISSOURI

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: 5/5/2024

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