| The Grand River Health System Corporation | |
|
321 Elm Street Hale MO 64643 | |
| (660) 565-2602 | |
| (660) 565-2604 |
| Full Name | The Grand River Health System Corporation |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 321 Elm Street, Hale, Missouri |
| Authorized Official Name and Position | Holly H Minnis (OFFICE MANAGER) |
| Authorized Official Contact | 6606462682 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Grand River Health System Corporation Po Box 86 Hale MO 64643-0086 Ph: (660) 565-2602 | The Grand River Health System Corporation 321 Elm Street Hale MO 64643 Ph: (660) 565-2602 |
| NPI Number | 1437230935 |
|---|---|
| Provider Enumeration Date | 10/18/2006 |
| Last Update Date | 02/28/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437230935 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Jefferson Medical Group Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 221 Elm St, Hale, MO 64643 Phone: 660-565-2602 Fax: 660-565-2604 |