THE GRAND RIVER HEALTH SYSTEM CORPORATION NPI 1003001769

Registered Nurse (Community Health) in Chillicothe, MO

About THE GRAND RIVER HEALTH SYSTEM CORPORATION

The Grand River Health System Corporation is a provider in Chillicothe, MO. The NPI number assigned to this provider is 1003001769. The practitioner's primary taxonomy code is Registered Nurse (163WC1500X). The provider is registered as an organization and their NPI record was last updated 10 years ago. The Grand River Health System Corporation operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as Hedrick Medical Center Home Heath Agency.

NPI

1003001769

Additional informationCallout TooltipNational Provider Indentifier (NPI)
The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider NameTHE GRAND RIVER HEALTH SYSTEM CORPORATION
Provider Location Address498 PARK LN CHILLICOTHE, MO 64601 Additional informationCallout TooltipProvider location address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address498 PARK LN CHILLICOTHE, MO 64601 Additional informationCallout TooltipProvider mailing address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
NPI Entity TypeOrganization 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.
Other Organization NameHEDRICK 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 TypeDoing Business As (3)
Enumeration Date09-06-2007 Additional informationCallout TooltipProvider enumeration date
The date the provider was assigned a unique identifier (assigned an NPI)
Last Update Date07-15-2008 Additional informationCallout TooltipLast update date
The date that a record was last updated or changed.

Business Address

THE GRAND RIVER HEALTH SYSTEM CORPORATION
498 PARK LN
CHILLICOTHE, MO
ZIP 64601
Phone: (660) 646-2199
Get Directions

Mailing Address

THE GRAND RIVER HEALTH SYSTEM CORPORATION
498 PARK LN
CHILLICOTHE, MO
ZIP 64601
Phone: (660) 646-2199

Primary Taxonomy

Taxonomy Code163WC1500X Additional informationCallout TooltipPrimary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
ClassificationRegistered Nurse
TypeNursing Service Providers
SpecializationCommunity Health

Authorized Official

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 TitleCEO
Authorized Official Phone(660) 646-1480

193200000X MULTI-SPECIALTY GROUP - This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1164W00000XNursing Service ProvidersLicensed Practical NurseNo

Taxonomy Description: 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.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
941965303MEDICAID (05)MO

Map Location


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

Other Providers at the same location


The following 4 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1245274653SAINT LUKES HOSPITAL OF CHILLICOTHE
Organization
Hospice Care, Community Based498 PARK LN
CHILLICOTHE, MO 64601
(660) 646-2199
1366637027THE GRAND RIVER HEALTH SYSTEM CORPORATION
Organization
Homemaker498 PARK LN
CHILLICOTHE, MO 64601
(660) 646-2199
1437353687MRS. TINA MARIE JONES P.T.
Individual
Physical Therapist498 PARK LN
CHILLICOTHE, MO 64601
(660) 707-4263
1457546111GRAND RIVER HEALTH SYSTEM CORPORATION
Organization
Technician (Personal Care Attendant)498 PARK LN
CHILLICOTHE, MO 64601
(660) 646-2199