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Organization
THE GRAND RIVER HEALTH SYSTEM CORPORATION
Active
Organization
THE GRAND RIVER HEALTH SYSTEM CORPORATION
Active
Other names
Hedrick Medical Center Home Heath Agency
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN J JOHNSTON (CEO)
(660) 646-1480
Entity
Organization
Contact information
Practice address
498 PARK LN, CHILLICOTHE, MO 64601-1551
(660) 646-2199
Mailing address
498 PARK LN, CHILLICOTHE, MO 64601-1551
(660) 646-2199
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
—
NULL
163WC1500X
Community Health Registered Nurse
Primary
—
—
164W00000X
Licensed Practical Nurse
—
NULL
164W00000X
Licensed Practical Nurse
—
—
Other
Enumeration date
09/06/2007
Last updated
07/15/2008
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