GOLDEN VALLEY MEMORIAL HOSPITAL DISTRICT (NPI# 1346694106) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346694106 |
| Entity Type | Organization |
| Organization Name | GOLDEN VALLEY MEMORIAL HOSPITAL DISTRICT |
| Other Organization Name | GOLDEN VALLEY MEDICAL |
| Practice Address |
1602 N 2nd St Clinton MO 64735-1192 |
| Practice Telephone | 6608858171 |
| Mailing Telephone | 6608858171 |
| Enumeration Date | 2016-04-19 |
| Last Update Date | 2016-04-19 |
| Authorized Official Name | KYLE D ADKINS (ADMINISTRATOR) |
| Authorized Official Telephone | 6608858171 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | PTAN | 7870000 | 01 |
| Other Name | Type Code |
|---|---|
| Golden Valley Medical | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124437918 | Golden Valley Memorial Hospital District | Nurse Practitioner | 286 Chestnut Street, Osceola, MO 64776-0566 | 2014-08-06 |
| 1316995939 | Golden Valley Memorial Hospital District | Clinic/Center | 100 S Tebo St, Windsor, MO 65360-1161 | 2006-05-05 |
| 1003873266 | Golden Valley Memorial Hospital District | Clinic/Center | 1602 N. 2nd Street, Clinton, MO 64735-3201 | 2006-04-28 |
| 1033109103 | Golden Valley Memorial Hospital District | Home Health | 1600 North Second St, Clinton, MO 64735-1192 | 2005-10-28 |
| 1396379830 | Golden Valley Memorial Hospital District | Clinic/Center | 603 E Gaines Dr, Clinton, MO 64735-3205 | 2020-02-24 |
| 1669965273 | Golden Valley Memorial Hospital District | Family Medicine | 725 E Ohio St, Clinton, MO 64735 | 2018-06-08 |
| 1710075361 | Golden Valley Memorial Hospital District | General Acute Care Hospital | 1600 N 2nd St, Clinton, MO 64735-1192 | 2006-10-10 |
| 1629166277 | Golden Valley Memorial Hospital District | Rehabilitation Unit | 1600 N 2nd St, Clinton, MO 64735-1192 | 2006-10-10 |
| 1538257183 | Golden Valley Memorial Hospital District | Medicare Defined Swing Bed Unit | 1600 N 2nd St, Clinton, MO 64735-1192 | 2006-10-10 |
| 1366490971 | Golden Valley Memorial Hospital District | Clinic/Center | 1771 Commercial St, Warsaw, MO 65355-3096 | 2006-05-05 |
| Street Address |
1602 N 2ND ST |
| City | CLINTON |
| State | MO |
| Zip Code | 64735-1192 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841288834 | Candice J. Baker | Nurse Practitioner | 1602 N 2nd St, Clinton, MO 64735-1192 | 2005-10-12 |
| 1760967533 | Heather Dains | Nurse Practitioner | 1602 N 2nd St, Clinton, MO 64735-1192 | 2018-09-27 |
| 1356820179 | Brenda Gale Messer | Nurse Practitioner | 1602 N 2nd St, Clinton, MO 64735-1192 | 2018-08-13 |
| 1043705080 | Taylor Marie Lincoln | Nurse Practitioner | 1602 N 2nd St, Clinton, MO 64735-1192 | 2018-06-22 |
| 1144767302 | Melondy Ann Bowland | Social Worker | 1602 N 2nd St, Clinton, MO 64735-1192 | 2017-01-26 |
| 1538605001 | Angela Heck | Social Worker | 1602 N 2nd St, Clinton, MO 64735 | 2017-01-09 |
| 1811357411 | Luke Schumacher | Physician Assistant | 1602 N 2nd St, Clinton, MO 64735-1192 | 2016-02-25 |
| 1528443264 | Renee Baker | Nurse Practitioner | 1602 N 2nd St, Clinton, MO 64735-1192 | 2015-07-23 |
| 1861875684 | Golden Valley Memorial Hospital | Nurse Practitioner | 1602 N 2nd St, Clinton, MO 64735-1192 | 2015-06-30 |
| 1982085676 | Aneel Ahmed Ursani | Psychiatry & Neurology | 1602 N 2nd St, Clinton, MO 64735-1192 | 2015-06-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730543778 | Courtney Briggs | Speech-Language Pathologist | 502 S. 5th, Clinton, MO 64735 | 2016-04-06 |
| 1447669924 | James Taylor Thatcher II | Counselor | 1800 Community Drive, Clinton, MO 64735 | 2014-08-08 |
| 1205271897 | Rocksheng Zhong | Psychiatry & Neurology | 1800 Community Dr, Clinton, MO 64735 | 2013-05-08 |
| 1407196272 | Missouri Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1501 E Ohio St, Clinton, MO 64735 | 2013-02-15 |
| 1265614176 | Kristal Lynn Moran | Registered Nurse | 1600 N Second St, Clinton, MO 64735 | 2007-12-03 |
| 1174653406 | Gary Allen Groff | Dentist | 1100 E Ohio St, Clinton, MO 64735 | 2007-03-06 |
| 1306908512 | Andrea Jolynn Bruck | Dentist | 906 E Ohio, Clinton, MO 64735 | 2006-12-14 |
| 1992873889 | Golden Valley Memorial Hospital Home Services | Home Health | 1600 North Second Street, Clinton, MO 64735 | 2006-12-01 |
| 1033205521 | Bradley Mark Townsend | Family Medicine | 1413 South Second Street, Clinton, MO 64735 | 2006-10-04 |
| 1871688473 | Michael Jay Harrison | Chiropractor | 704 E. Ohio, Clinton, MO 64735 | 2006-10-03 |
| Find all providers in zip 64735 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700440369 | Gentle Hands Healthcare LLC | Clinic/Center | 135 Oak Meadow Dr, Clinton, MS 39056-6044 | 2019-04-29 |
| 1124295886 | Independent Physical Therapy | Clinic/Center | 1202 N Charles G Seivers Blvd Ste A, Clinton, TN 37716-3936 | 2008-05-13 |
| 1386832764 | Mercy Specialty Clinic | Clinic/Center | 1410 North 4th Street, Clinton, IA 52732-2940 | 2007-10-10 |
| 1578600615 | Dewitt County Human Resource Center | Clinic/Center | 1150 Rt 54 West, Clinton, IL 61727 | 2007-01-30 |
| 1558857474 | Prince George's County Health Department | Clinic/Center | 9314 Piscataway Rd, Clinton, MD 20735-3630 | 2018-07-03 |
| 1386019834 | Building Blocks Learning Center, LLC | Clinic/Center | 19 Robinson Rd, Clinton, NY 13323-1418 | 2015-12-09 |
| 1245626324 | Principal Care, LLC | Clinic/Center | 19 Robinson Rd, Clinton, NY 13323-1418 | 2015-04-15 |
| 1326302993 | Serc Rehabilitation Partners, LLC | Clinic/Center | 109 W Franklin St, Clinton, MO 64735-2007 | 2012-06-28 |
| 1134422041 | Tri County Community Health Council Inc | Clinic/Center | 306 Beaman St, Clinton, NC 28328-2908 | 2010-12-15 |
| 1679888382 | Benchmark Healthcare Services LLC | Clinic/Center | 1202 N Charles G Seivers Blvd Ste A, Clinton, TN 37716-3936 | 2010-08-18 |
| Find all providers in CLINTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.