NPIMap

Organization Active NPI

The Grand River Health System Corporation

  • Community Health Registered Nurse
  • Chillicothe, MO
National Provider Identifier
1003001769
Registry record updated Jul 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Registered NurseTaxonomy code 163WC1500X
Legal business name
THE GRAND RIVER HEALTH SYSTEM CORPORATION
Practice address
498 Park LN
Chillicothe, MO 64601-1551
Phone
(660) 646-2199
NPI assigned
Sep 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Brian J Johnston
Title
Ceo
Phone
(660) 646-1480

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WC1500X Primary
Licensed Practical NurseGroup: 193200000X MULTI-SPECIALTY GROUP 164W00000X

Addresses

Primary practice location

498 Park LN
Chillicothe, MO 64601-1551

Mailing address

498 Park LN
Chillicothe, MO 64601-1551
Phone (660) 646-2199

Other identifiers 1

IdentifierTypeStateIssuer
941965303MedicaidMO

Other names 1

  • Hedrick Medical Center Home Heath Agency Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Grand River Health System Corporation8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1189036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216080000000",
    "number": "1003001769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "498 PARK LN",
            "city": "CHILLICOTHE",
            "state": "MO",
            "postal_code": "646011551",
            "telephone_number": "660-646-2199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "498 PARK LN",
            "city": "CHILLICOTHE",
            "state": "MO",
            "postal_code": "646011551",
            "telephone_number": "660-646-2199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE GRAND RIVER HEALTH SYSTEM CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-06",
        "last_updated": "2008-07-15",
        "status": "A",
        "authorized_official_last_name": "JOHNSTON",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "660-646-1480"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Community Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Licensed Practical Nurse",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "941965303",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hedrick Medical Center Home Heath Agency",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chillicothe, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.