GOLDEN VALLEY MEMORIAL HOSPITAL DISTRICT (NPI# 1538257183) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1538257183 |
Entity Type | Organization |
Organization Name | GOLDEN VALLEY MEMORIAL HOSPITAL DISTRICT |
Other Organization Name | GOLDEN VALLEY MEMORIAL HOSPITAL |
Practice Address |
1600 N 2nd St Clinton MO 64735-1192 |
Practice Telephone | 6608907103 |
Practice Fax Number | 6608858496 |
Mailing Telephone | 6608907103 |
Mailing Fax Number | 6608858496 |
Enumeration Date | 2006-10-10 |
Last Update Date | 2020-01-08 |
Authorized Official Name | MR. CRAIG THOMPSON (CEO) |
Authorized Official Telephone | 6608907103 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 275N00000X | Medicare Defined Swing Bed Unit | 257-34 | MO | Hospital Units |
Other Name | Type Code |
---|---|
Golden Valley Memorial Hospital | 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 |
1346694106 | Golden Valley Memorial Hospital District | Clinic/Center | 1602 N 2nd St, Clinton, MO 64735-1192 | 2016-04-19 |
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 |
1366490971 | Golden Valley Memorial Hospital District | Clinic/Center | 1771 Commercial St, Warsaw, MO 65355-3096 | 2006-05-05 |
Street Address |
1600 N 2ND ST |
City | CLINTON |
State | MO |
Zip Code | 64735-1192 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003801747 | Karl J. Haake | Anesthesiology | 1600 N 2nd St, Clinton, MO 64735-1192 | 2005-09-19 |
1770110520 | Aaron Andrew Tjomsland | Physician Assistant | 1600 N 2nd St, Clinton, MO 64735-1192 | 2020-03-23 |
1023663770 | Nicole Rebecca Romine | Nurse Practitioner | 1600 N 2nd St, Clinton, MO 64735-1192 | 2019-08-08 |
1083172415 | Daniel E Roberson | Registered Nurse | 1600 N 2nd St, Clinton, MO 64735-1297 | 2019-03-05 |
1093284549 | Town Square Emergency Associates Pllc | Emergency Medicine | 1600 N 2nd St, Clinton, MO 64735-1192 | 2018-11-14 |
1235610395 | Anisa Ranay Burdick | Nurse Practitioner | 1600 N 2nd St, Clinton, MO 64735-1297 | 2018-08-27 |
1215414255 | Daniel F. Campbell | Nurse Anesthetist, Certified Registered | 1600 N 2nd St, Clinton, MO 64735-1192 | 2018-07-23 |
1992294458 | Aimee Oerke | Dietitian, Registered | 1600 N 2nd St, Clinton, MO 64735-1192 | 2018-05-09 |
1285174268 | Mary Darling | Social Worker | 1600 N 2nd St, Clinton, MO 64735-1192 | 2017-02-24 |
1891242715 | Michelle Shoemaker | Registered Nurse | 1600 N 2nd St, Clinton, MO 64735-1192 | 2016-09-08 |
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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 |
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Taxonomy Code | 275N00000X |
Grouping | Hospital Units |
Classification | Medicare Defined Swing Bed Unit |
A unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit. |
Notes: Source: Code of Federal Regulations #42, Section 482.66. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992865513 | Ozark Health, Inc | Medicare Defined Swing Bed Unit | 2500 Hwy 65 South, Clinton, AR 72031 | 2006-12-12 |
1518206960 | Sampson Regional Medical Center | Medicare Defined Swing Bed Unit | 607 Beaman St, Clinton, NC 28328-2603 | 2013-02-05 |
1245343680 | Clinton Hma, LLC | Medicare Defined Swing Bed Unit | 100 N 30th St, Clinton, OK 73601-3117 | 2006-08-17 |
1578561403 | West Central Community Hospital | Medicare Defined Swing Bed Unit | 801 S Main St, Clinton, IN 47842-2261 | 2005-07-13 |
1487652319 | Union Hospital, Inc. | Medicare Defined Swing Bed Unit | 801 S Main St, Clinton, IN 47842-2261 | 2005-07-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013054212 | Ste Genevieve County Memorial Hospital | Medicare Defined Swing Bed Unit | 800 Sainte Genevieve Dr, Ste Genevieve, MO 63670-1434 | 2007-01-30 |
1104801547 | Barton County Memorial Hospital | Medicare Defined Swing Bed Unit | 29 Nw 1st Ln, Lamar, MO 64759-8105 | 2005-12-08 |
1245220052 | Ray County Memorial Hospital | Medicare Defined Swing Bed Unit | 904 Wollard Blvd, Richmond, MO 64085-2229 | 2005-10-24 |
1083601330 | Western Missouri Medical Center | Medicare Defined Swing Bed Unit | 403 Burkarth Rd, Warrensburg, MO 64093 | 2005-10-03 |
1407469778 | Noble Health Fulton Inc. | Medicare Defined Swing Bed Unit | 10 S Hospital Dr, Fulton, MO 65251-2510 | 2020-08-26 |
1558985911 | Poplar Bluff Regional Medical Center LLC | Medicare Defined Swing Bed Unit | 3100 Oak Grove Rd, Poplar Bluff, MO 63901-1573 | 2020-06-02 |
1568936995 | Mosaic Medical Center - Maryville | Medicare Defined Swing Bed Unit | 2016 S Main St, Maryville, MO 64468-2655 | 2019-01-18 |
1861861726 | Southeast Health Center of Reynolds LLC | Medicare Defined Swing Bed Unit | 100 Highway 21 N, Ellington, MO 63638-9409 | 2015-09-22 |
1023487162 | Southeast Health Center of Ripley County | Medicare Defined Swing Bed Unit | 109 Plum St, Doniphan, MO 63935-1277 | 2015-09-18 |
1093194888 | Southeast Health Center of Ripley County | Medicare Defined Swing Bed Unit | 109 Plum St, Doniphan, MO 63935-1277 | 2015-05-26 |
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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.