Hedrick Medical Center Home Heath Agency

LBN: The Grand River Health System Corporation
Hedrick Medical Center Home Heath Agency is an health care organization with primary practice located at 498 Park Ln , Chillicothe MO 64601-1551. The organization recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Community Health, Nursing Service Providers / Licensed Practical Nurse. Nursing Service Providers / Community Health is the primary health care specialty. The Grand River Health System Corporation can be contacted via phone (660) 646-2199, or through Johnston, Brian J via phone (660) 646-1480.

Contact Information

Primary practice address
498 Park Ln Chillicothe MO 64601-1551
Phone: (660) 646-2199
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Johnston, Brian J
Phone: (660) 646-1480

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Community Health 163WC1500X
Nursing Service Providers / Licensed Practical Nurse 164W00000X

Profile Details

NPI number 1003001769
LBN Legal business name The Grand River Health System Corporation
DBA Doing business as Hedrick Medical Center Home Heath Agency
Authorized official Johnston, Brian J
Entity Organization
Organization subpart 1 No
Enumeration date Sep 6th, 2007
Last updated Jul 15th, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003001769 NPPES
Missouri MEDICAID 941965303

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