THE GRAND RIVER HEALTH SYSTEM CORPORATION (NPI# 1003001769) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003001769 |
| Entity Type | Organization |
| Organization Name | THE GRAND RIVER HEALTH SYSTEM CORPORATION |
| Other Organization Name | HEDRICK MEDICAL CENTER HOME HEATH AGENCY |
| Practice Address |
498 Park Ln Chillicothe MO 64601-1551 |
| Practice Telephone | 6606462199 |
| Mailing Telephone | 6606462199 |
| Enumeration Date | 2007-09-06 |
| Last Update Date | 2008-07-15 |
| Authorized Official Name | BRIAN J JOHNSTON (CEO) |
| Authorized Official Telephone | 6606461480 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 164W00000X | Licensed Practical Nurse | Nursing Service Providers | ||
| Y | 163WC1500X |
Registered Nurse Specialization: Community Health |
Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 941965303 | 05 |
| Other Name | Type Code |
|---|---|
| Hedrick Medical Center Home Heath Agency | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437230935 | The Grand River Health System Corporation | Clinic/Center | 321 Elm Street, Hale, MO 64643 | 2006-10-18 |
| 1366637027 | The Grand River Health System Corporation | Homemaker | 498 Park Ln, Chillicothe, MO 64601-1551 | 2007-09-06 |
| Street Address |
498 PARK LN |
| City | CHILLICOTHE |
| State | MO |
| Zip Code | 64601-1551 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245274653 | Saint Lukes Hospital of Chillicothe | Hospice Care, Community Based | 498 Park Ln, Chillicothe, MO 64601-1551 | 2006-06-15 |
| 1457546111 | Grand River Health System Corporation | Technician | 498 Park Ln, Chillicothe, MO 64601-1551 | 2007-09-06 |
| 1366637027 | The Grand River Health System Corporation | Homemaker | 498 Park Ln, Chillicothe, MO 64601-1551 | 2007-09-06 |
| 1437353687 | Tina Marie Jones | Physical Therapist | 498 Park Ln, Chillicothe, MO 64601-1551 | 2007-06-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154946564 | Kelly Erin Deering | Optometrist | 1115 N Washingston St, Chillicothe, MO 64601 | 2020-06-11 |
| 1245873314 | Heartland Hearing Center | Hearing Instrument Specialist | 711 Washingtonst, Chllicothe, MO 64601 | 2019-10-22 |
| 1063776706 | Marie Elizabeth Mckinley | Counselor | 871 Fairway Drive, Chillicothe, MO 64601 | 2012-06-27 |
| 1528332525 | Brandon Kent Albrecht | Nurse Anesthetist, Certified Registered | 2106 Woodcrest Drive, Chillicothe, MO 64601 | 2012-03-08 |
| 1356651707 | Kimberly Marie Rice | Hearing Instrument Specialist | 614 Washington St., Suite 101, Chillicothe, MO 64601 | 2010-10-19 |
| 1457551483 | Mccoy Samples Mattingly Dental Clinic | Dentist | 850 Fairway Dr, Chillicothe, MO 64601 | 2007-07-18 |
| 1134328909 | Katherine Gibson | Speech-Language Pathologist | 1020 Old Highway 36 West, Chillicothe, MO 64601 | 2007-07-12 |
| 1669697660 | Family Health Center, Inc. | Family Medicine | 103 11th St. Ste 7, Chillicothe, MO 64601 | 2007-04-16 |
| 1275671042 | Floyd Jerome Davis | Chiropractor | 701 Locust Street, Chillicothe, MO 64601 | 2007-02-02 |
| 1689740938 | James P Suchsland | Family Medicine | 2791 N Washingston St, Hedrick Family Care, Chillicothe, MO 64601 | 2006-11-28 |
| Find all providers in zip 64601 | ||||
| Taxonomy Code | 163WC1500X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Community Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326514381 | Clark Supported Living | Registered Nurse | 303 Macaw Dr, Columbia, MO 65202 | 2018-10-17 |
| 1740690288 | Joan Brundage | Registered Nurse | 213 S Green St, Lancaster, MO 63548-1097 | 2014-05-06 |
| 1083024863 | Kathryn Magers | Registered Nurse | 213 S. Green St, Lancaster, MO 63548 | 2014-05-02 |
| 1063712628 | Phyllis Joan Jones | Registered Nurse | 126 Missouri Avenue Glwach, Fort Leonard Wood, MO 65473 | 2010-10-29 |
| 1982634358 | Visiting Nurse Association of Greater St. Louis | Registered Nurse | 11440 Olive Blvd, Suite 200, Creve Coeur, MO 63141-7109 | 2006-07-03 |
| 1659366417 | Lincoln County Health Department | Registered Nurse | 5 Health Department Dr, Troy, MO 63379-4551 | 2005-09-16 |
| 1538784871 | Taye L Conkle | Registered Nurse | 1000 E 24th St, Kansas City, MO 64108-2776 | 2020-06-12 |
| 1689209405 | Shannon Renee Hensler | Registered Nurse | 1430 Olive St Ste 400, Saint Louis, MO 63103-2303 | 2020-03-12 |
| 1982167912 | Joyce Ann Edington | Registered Nurse | 3001 Warrior Ln, Poplar Bluff, MO 63901-8685 | 2019-04-08 |
| 1215413760 | Becky Smith Schrama | Registered Nurse | 4000 Jennings Station Rd, Saint Louis, MO 63121-3323 | 2018-07-18 |
| Find all providers with the same taxonomy | ||||
| City | CHILLICOTHE |
| Zip Code | 64601 |
Please comment or provide details below to improve the information on THE GRAND RIVER HEALTH SYSTEM CORPORATION.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.