THE GRAND RIVER HEALTH SYSTEM CORPORATION NPI 1003001769

Licensed Practical Nurse

THE GRAND RIVER HEALTH SYSTEM CORPORATION

The Grand River Health System Corporation is a licensed practical nurse in Chillicothe, MO. The Grand River Health System Corporation NPI is 1003001769. The provider's taxonomy code is 164W00000X - Licensed Practical Nurse.The provider is doing business as is Hedrick Medical Center Home Heath Agency. An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

NPI Profile Additional informationCallout TooltipNational Provider Indentifier (NPI)
The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

NPI: 1003001769
Provider Name: THE GRAND RIVER HEALTH SYSTEM CORPORATION
NPI Entity Type: Organization Additional informationCallout TooltipEntity type code
The code describing the type of health care provider that is being assigned an NPI.
Codes are:
1 = (Person): individual human being who furnishes health care;
2 = (Non-person): entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO).

Is Sole Proprietor?: N/A
Is Organization Subpart?: No Additional informationCallout TooltipWhat is a subpart?
Subparts are the components and separate physical locations of organization health care providers. Examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Enumeration Date: 09-06-2007 Additional informationCallout TooltipProvider enumeration date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date: 07-15-2008 Additional informationCallout TooltipLast update date
The date that a record was last updated or changed.


Other Organization Name: HEDRICK MEDICAL CENTER HOME HEATH AGENCY Additional informationCallout TooltipProvider other organization name
The alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. Codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Other Name Type: Doing Business As (3)

Authorized Official Name: BRIAN J JOHNSTON Additional informationCallout TooltipAuthorized official name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.

Authorized Official Title: CEO
Authorized Official Phone: (660) 646-1480


Taxonomies


The taxonomy code defines the provider type, classification, and specialization. For individual NPIs the license data is associated to the taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. License State Is Primary?
1164W00000X Additional informationCallout TooltipTaxonomy Code - 164W00000X
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
Nursing Service ProvidersLicensed Practical NurseNo
2163WC1500X Additional informationCallout TooltipTaxonomy Code - 163WC1500X


Nursing Service ProvidersRegistered NurseCommunity HealthYes

Map Location


THE GRAND RIVER HEALTH SYSTEM CORPORATION address is 498 PARK LN CHILLICOTHE, MO 64601 Get Directions