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Contact Information

GRUNDY COUNTY NURSING HOME DISTRICT
1311 E 28TH ST
TRENTON, MO64683
 Phone: 660-359-5647
 Fax: 660-359-4111
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
Indicates primary specialty

NPI Profile & details for GRUNDY COUNTY NURSING HOME DISTRICT

NPI # 1649242876
LBN Legal business name GRUNDY COUNTY NURSING HOME DISTRICT
Authorized official PATRISHA SMITH - (ADMINISTRATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 02/02/2006
Last updated 07/22/2025 - About 11 months ago
Identifiers
License # 035512
MO Medicaid 101496404
Other 91044019 BCBS
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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