THE GRAND RIVER HEALTH SYSTEMS CORP. (NPI# 1548345879) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548345879 |
| Entity Type | Organization |
| Organization Name | THE GRAND RIVER HEALTH SYSTEMS CORP. |
| Other Organization Name | HEDRICK MEDICAL CENER - CHILLICOTHE MEDICAL CLINIC |
| Practice Address |
103 11th St Suite 14 Chillicothe MO 64601-1554 |
| Mailing Address |
103 11th St Suite 14 Chillicothe MO 64601-1676 |
| Practice Telephone | 6606462682 |
| Practice Fax Number | 6606462688 |
| Mailing Telephone | 6606462682 |
| Mailing Fax Number | 6606462688 |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. HOLLY H MINNIS (OFFICE MANAGER) |
| Authorized Official Telephone | 6606462682 |
| Authorized Official Credential | RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 207Q00000X | Family Medicine | 107238 | MO | Allopathic & Osteopathic Physicians |
| X | 207R00000X | Internal Medicine | 106544 | MO | Allopathic & Osteopathic Physicians |
| X | 363A00000X | Physician Assistant | 2002012315 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| Other Name | Type Code |
|---|---|
| Hedrick Medical Cener - Chillicothe Medical Clinic | Doing Business As Name - Organization |
| Street Address |
103 11TH ST SUITE 14 |
| City | CHILLICOTHE |
| State | MO |
| Zip Code | 64601-1554 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922090299 | Narayanan K Mangalat | Surgery | 103 11th St, Suite #5, Chillicothe, MO 64601-1676 | 2005-08-22 |
| 1427284504 | Hulett Family Practice, LLC | Family Medicine | 103 11th St, Suite 6, Chillicothe, MO 64601-1676 | 2009-06-03 |
| 1184861478 | Cal W Greenlaw Md PC | Internal Medicine | 103 11th St, Suite 16, Chillicothe, MO 64601-1676 | 2009-01-08 |
| 1366545519 | Larry Dale Mcdonald | Dentist | 103 11th St, Ste 10, Chillicothe, MO 64601-1626 | 2006-09-06 |
| 1356369714 | Carol J Constant | Nurse Practitioner | 103 11th St, Suite 11, Chillicothe, MO 64601-1676 | 2006-07-17 |
| 1447296470 | Donald J Metry Jr. | Internal Medicine | 103 11th St, Suite 11, Chillicothe, MO 64601-1676 | 2006-06-20 |
| 1407809353 | Charles Martin Shumate | Obstetrics & Gynecology | 103 11th St, Suite 2, Chillicothe, MO 64601-1676 | 2006-05-19 |
| 1881647170 | Edna C Decastro | Internal Medicine | 103 11th St, Ste 14, Chillicothe, MO 64601-1676 | 2006-05-18 |
| 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 | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740819507 | Rtts Services Corporation | Family Medicine | 67 E Water St, Chillicothe, OH 45601-2535 | 2020-04-03 |
| 1376939587 | Jimmy L Yowell | Family Medicine | 20731 Highway 65, Chillicothe, MO 64601-8315 | 2015-04-14 |
| 1730310673 | John D Peralta-olivieri | Family Medicine | 272 Hospital Rd Ste 4, Third Floor - Billing Services, Chillicothe, OH 45601-9031 | 2009-07-27 |
| 1073751186 | Patterson Family Medical | Family Medicine | 209 Delano Ave, Chillicothe, OH 45601-2250 | 2009-01-27 |
| 1669697660 | Family Health Center, Inc. | Family Medicine | 103 11th St. Ste 7, Chillicothe, MO 64601 | 2007-04-16 |
| 1881760916 | James P. Suchsland, Inc | Family Medicine | 530 Park Ln, Chillicothe, MO 64601-1560 | 2006-11-28 |
| 1689740938 | James P Suchsland | Family Medicine | 2791 N Washingston St, Hedrick Family Care, Chillicothe, MO 64601 | 2006-11-28 |
| 1508956897 | Tim Vega | Family Medicine | 319 N 4th St, Chillicothe, IL 61523-2059 | 2006-10-15 |
| 1326150897 | Joseph Scott Mckell | Family Medicine | 174 W Main St, Chillicothe, OH 45601-3106 | 2006-08-31 |
| 1811005051 | Barton Earl Brower | Family Medicine | 272 Hospital Road, Adena Health Systems, Chillicothe, OH 45601 | 2006-08-28 |
| Find all providers in CHILLICOTHE | ||||
| City | CHILLICOTHE |
| Zip Code | 64601 |
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| 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.