Active NPI
Saint Lukes Hospital of Chillicothe
Doing business as Hedrick Medical Center - Home Health Agency
- Home Health Agency
- Chillicothe, MO
National Provider Identifier
1326083304
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 515-9
- Legal business name
- SAINT LUKES HOSPITAL OF CHILLICOTHE
- Doing business as
- Hedrick Medical Center - Home Health Agency
- Practice address
- 893 Fairway Dr
Chillicothe, MO 64601-3673 - Phone
- (660) 646-2199
- NPI assigned
- Jun 16, 2006
- Last updated
- Mar 7, 2012
- Organization subpart
- Yes
- Parent organization
- SAINT LUKES HOSPITAL OF CHILLICOTHE
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kevin T Trimble
- Title
- Ceo
- Phone
- (816) 891-6000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 515-9 | MO | Primary |
Addresses
Primary practice location
893 Fairway Dr
Chillicothe, MO 64601-3673
Mailing address
100 Central St
Chillicothe, MO 64601-1554
Phone (660) 646-2199
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 581965308 | Medicaid | MO |
Other names 1
- Hedrick Medical Center - Home Health Agency
National Provider Directory
National Provider Directory- Part of
- The Grand River Health Systems Corp
Locations
893 Fairway Dr
Chillicothe, MO 64601
Phone (660) 200-6620
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
dba Hedrick Medical Center
- Critical Access Hospital
- Chillicothe, MO
- NPI 1912948308
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150416000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1331078400000",
"number": "1326083304",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 CENTRAL ST",
"city": "CHILLICOTHE",
"state": "MO",
"postal_code": "646011554",
"telephone_number": "660-646-2199"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "893 FAIRWAY DR",
"city": "CHILLICOTHE",
"state": "MO",
"postal_code": "646013673",
"telephone_number": "660-646-2199"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAINT LUKES HOSPITAL OF CHILLICOTHE",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "SAINT LUKES HOSPITAL OF CHILLICOTHE",
"enumeration_date": "2006-06-16",
"last_updated": "2012-03-07",
"status": "A",
"authorized_official_last_name": "TRIMBLE",
"authorized_official_first_name": "KEVIN",
"authorized_official_middle_name": "T",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "816-891-6000"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "MO",
"license": "515-9",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "581965308",
"state": "MO"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Hedrick Medical Center - Home Health Agency",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Chillicothe, MO
- Danelle Reagin, MSN, FNP
- Kimberly Marie Rice
- Marilise Rogers, DDS
- Saint Lukes Hospital of Chillicothe (Hedrick Medical Center)
- Saint Lukes Hospital of Chillicothe (Hedrick Medical Center)
- Saint Lukes Hospital of Chillicothe (Hedrick Medical Center)
- Saint Lukes Hospital of Chillicothe (Hedrick Medical Center)
- Saint Lukes Hospital of Chillicothe (Hedrick Medical Center)
- Saint Lukes Hospital of Chillicothe (Hedrick Medical Center Pharmacy)
- Stuart Z Samples, DDS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.