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
—
—
164W00000X
Licensed Practical Nurse
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
941965303
—
MO
Enumeration date
09/06/2007
Last updated
07/15/2008
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